JAWARA DIA COOLEY MED, LPC, NCC
NPI 1659965325
Counselor - Mental Health in Laurel, MD

Active since February 23, 2021PECOS Enrolled
14625 BALTIMORE AVE # 801, LAUREL, MD 20707(202) 734-6820 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 17, 2023, Oct 31, 2022, Feb 23, 2021 (3 updates tracked since 2021).

About Jawara Dia Cooley Med, Lpc, Ncc NPPES

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

JAWARA DIA COOLEY MED, LPC, NCC (NPI 1659965325) is an individual mental health provider in Laurel, Maryland, licensed in District Of Columbia (PRC200001661) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1659965325
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAWARA DIA COOLEYCredential: MED, LPC, NCC
Location Address14625 BALTIMORE AVE # 801Laurel, MD 20707-4902
Mailing Address14625 Baltimore Ave # 801Laurel, MD 20707-4902 · (202) 734-6820
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 23, 2021
Last NPPES UpdateJanuary 17, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2023
NPI 1659965325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in DC · PRC200001661
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LGPC00826 (DC)
14625 BALTIMORE AVE # 801, Laurel, MD 20707

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jawara Dia Cooley Med, Lpc, Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840762530
PECOS Enrollment IDI20260613000135
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 Jawara Cooley's NPI number?

The NPI number for Jawara Cooley is 1659965325. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Jawara Cooley located?

Jawara Cooley practices at 14625 Baltimore Ave # 801, Laurel, MD 20707. The listed phone number is (202) 734-6820.

What is Jawara Cooley's specialty?

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

Is Jawara Cooley enrolled in Medicare?

Yes. Jawara Cooley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jawara Cooley was last updated on January 17, 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.