KERRY DALE COOPER
NPI 1639832793
Counselor - Addiction (Substance Use Disorder) in Los Angeles, CA

Active since October 15, 2021
155 BIMINI PL, LOS ANGELES, CA 90004(213) 388-5423 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 3, 2022, Oct 15, 2021 (2 updates tracked since 2021).

About Kerry Dale Cooper NPPES

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

KERRY DALE COOPER (NPI 1639832793) is an individual addiction (substance use disorder) provider in Los Angeles, California and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1639832793
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKERRY DALE COOPER
Location Address155 BIMINI PLLos Angeles, CA 90004-5902
Mailing Address4847 Vista De Oro AveView Park, CA 90043-1610 · (323) 601-7495
Sole ProprietorYes
Enumeration DateOctober 15, 2021
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2022
NPI 1639832793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
155 BIMINI PL, Los Angeles, CA 90004

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.

Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004
Counselor (Addiction (Substance Use Disorder))
155 BIMINI PL
LOS ANGELES, CA 90004

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 Kerry Cooper's NPI number?

The NPI number for Kerry Cooper is 1639832793. It was assigned to this individual provider in the NPPES registry on October 15, 2021.

Where is Kerry Cooper located?

Kerry Cooper practices at 155 Bimini Pl, Los Angeles, CA 90004. The listed phone number is (213) 388-5423.

What is Kerry Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kerry Cooper was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.