MARTY L COOPER
NPI 1487793865
Counselor in Redwood City, CA

Q: What is Marty Cooper's NPI number?

The NPI number for Marty Cooper is 1487793865. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Marty Cooper's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Marty Cooper enrolled in Medicare?

No. Marty Cooper has opted out of Medicare through September 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Marty Cooper was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2007Opted out of Medicare · through Sep 28, 2026

251 JACKSON AVE, REDWOOD CITY, CA 94061(650) 368-2383(650) 368-0599 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marty L Cooper NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTY L COOPER (NPI 1487793865) is an individual counselor in Redwood City, California and active in the NPI registry since February 2007. He has opted out of Medicare through September 28, 2026.

NPPES Registry Identity

NPI1487793865

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMARTY L COOPER

Location Address251 JACKSON AVERedwood City, CA 94061-1630

Mailing Address4831 Geary BlvdSan Francisco, CA 94118-2910 · (415) 835-2162

Phone(650) 368-2383

Fax(650) 368-0599

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487793865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

251 JACKSON AVE, Redwood City, CA 94061

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marty L Cooper has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 28, 2024 through September 28, 2026.

Opt-Out Effective DateSeptember 28, 2024

Opt-Out In Effect ThroughSeptember 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA DAVIS

Counselor