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STACI COOPER LCPC
NPI 1629228663
Counselor - Mental Health in Boise, ID

Active since September 26, 2008PECOS Enrolled
410 S ORCHARD ST. STE 140, BOISE, ID 83705(986) 686-6548(844) 845-7650 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2024, Nov 1, 2022 (2 updates tracked since 2022).

About Staci Cooper Lcpc NPPES

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

STACI COOPER LCPC (NPI 1629228663) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCPC-4487) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629228663
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACI COOPERCredential: LCPC
Location Address410 S ORCHARD ST. STE 140Boise, ID 83705-1288
Mailing Address410 S Orchard St. Ste 140Boise, ID 83705-1288 · (503) 314-7435 · Fax (844) 845-7650
Phone(986) 686-6548
Fax(844) 845-7650
Sole ProprietorNo
Enumeration DateSeptember 26, 2008
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1629228663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC-4487
410 S ORCHARD ST. STE 140, Boise, ID 83705
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staci Cooper Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Staci Cooper's NPI number?

The NPI number for Staci Cooper is 1629228663. It was assigned to this individual provider in the NPPES registry on September 26, 2008.

Where is Staci Cooper located?

Staci Cooper practices at 410 S Orchard St. Ste 140, Boise, ID 83705. The listed phone number is (986) 686-6548.

What is Staci Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Staci Cooper enrolled in Medicare?

Yes. Staci Cooper is registered in the Medicare PECOS enrollment system.

What insurance does Staci Cooper accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Staci 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 Staci Cooper was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.