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HEATHER COOPER
NPI 1568058238
Counselor - Professional in Kenosha, WI

Active since December 17, 2020PECOS EnrolledAccepts Medicare Assignment
2108 63RD ST, KENOSHA, WI 53143(262) 652-2406 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2023, Dec 17, 2020 (2 updates tracked since 2020).

About Heather Cooper NPPES

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

HEATHER COOPER (NPI 1568058238) is an individual professional provider in Kenosha, Wisconsin, licensed in Wisconsin (10203-125) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568058238
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHEATHER COOPER
Location Address2108 63RD STKenosha, WI 53143-4454
Mailing Address2108 63rd StKenosha, WI 53143-4454 · (262) 652-2406
Phone(262) 652-2406
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 17, 2020
Last NPPES UpdateJanuary 9, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1568058238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in WI · 10203-125✔ Licensed in WI · 4832-226
2108 63RD ST, Kenosha, WI 53143
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Cooper is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729421672
PECOS Enrollment IDI20240207002179
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Heather Cooper reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Services Group, Inc.
Same address
Mental Health (Including Community Mental Health Center)
2108 63RD ST
Kenosha, WI 53143
  • Reassigned Medicare billing, Wisconsin enrollment
  • 72 clinicians in this Medicare group
NPI 1619024262 (262) 652-2406
Mental Health Specialty Group PA
659 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 63 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JESSICA MARTZAHL LPC
Counselor (Professional)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
MACKENZIE DODGE APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
LAUREN WUENSTEL LCSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
COURTNEY JEAN NIELSEN APSW
Social Worker
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
CASEY NICOLE GITTENS
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
DAVID HOUGHTON MSW
Social Worker (Clinical)
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
ZACHARY ALAN WEIS MS
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406
JASON HAJDUK
Counselor
2108 63RD ST
KENOSHA, WI 53143
Kenosha County (262) 652-2406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Cooper's NPI number?

The NPI number for Heather Cooper is 1568058238. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Heather Cooper located?

Heather Cooper practices at 2108 63rd St, Kenosha, WI 53143. The listed phone number is (262) 652-2406.

What is Heather Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Heather Cooper enrolled in Medicare?

Yes. Heather Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heather Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Cooper reassigns Medicare benefits to 2 organizations: Professional Services Group, Inc. (Kenosha, WI) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Cooper accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 7 other insurers list Heather Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Cooper was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.