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CANDACE BRYANT COOPER
NPI 1639344260
Counselor - Mental Health in Federal Way, WA

Active since April 24, 2008Opted out of Medicare · through Nov 8, 2027
33919 9TH AVE S STE 209, FEDERAL WAY, WA 98003(253) 230-6123 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Candace Bryant Cooper NPPES

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

CANDACE BRYANT COOPER (NPI 1639344260) is an individual mental health provider in Federal Way, Washington, licensed in Washington (LW00006516) and active in the NPI registry since April 2008. She has opted out of Medicare through November 8, 2027.

NPPES Registry Identity

NPI1639344260
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDACE BRYANT COOPER
Location Address33919 9TH AVE S STE 209Federal Way, WA 98003-6724
Mailing AddressPo Box 23884Federal Way, WA 98093-0884 · (253) 331-5050
Phone(253) 230-6123
Sole ProprietorYes
Enumeration DateApril 24, 2008
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1639344260 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 WA · LW00006516
33919 9TH AVE S STE 209, Federal Way, WA 98003
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Other Names 1

Professional Name (2)Candace Bryant Cooper

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Candace Bryant 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 November 8, 2021 through November 8, 2027.

Opt-Out Effective DateNovember 8, 2021
Opt-Out In Effect ThroughNovember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Candace Bryant Cooper's NPI number?

The NPI number for Candace Bryant Cooper is 1639344260. It was assigned to this individual provider in the NPPES registry on April 24, 2008.

Where is Candace Bryant Cooper located?

Candace Bryant Cooper practices at 33919 9th Ave S Ste 209, Federal Way, WA 98003. The listed phone number is (253) 230-6123.

What is Candace Bryant Cooper's specialty?

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

Is Candace Bryant Cooper enrolled in Medicare?

No. Candace Bryant Cooper has opted out of Medicare through November 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Candace Bryant Cooper was last updated on November 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.