JACQUELYN MARIE COOPER LADAC II
NPI 1679460745
Counselor - Addiction (Substance Use Disorder) in Cleveland, TN

Q: What is Jacquelyn Cooper's NPI number?

The NPI number for Jacquelyn Cooper is 1679460745. It was assigned to this individual provider in the NPPES registry on June 21, 2025.

Q: What is Jacquelyn Cooper's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Cooper was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 21, 2025

1510 STUART RD NE STE 101, CLEVELAND, TN 37312(423) 790-4906 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacquelyn Marie Cooper Ladac Ii NPPES

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

JACQUELYN MARIE COOPER LADAC II (NPI 1679460745) is an individual addiction (substance use disorder) provider in Cleveland, Tennessee, licensed in Tennessee (1730) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1679460745

Entity TypeIndividual

Primary Taxonomy101YA0400X

Provider Legal NameJACQUELYN MARIE COOPERCredential: LADAC II

Location Address1510 STUART RD NE STE 101Cleveland, TN 37312-5869

Mailing Address1809 Forest Ridge Dr SwCleveland, TN 37311-7321 · (423) 599-2597

Phone(423) 790-4906

Sole ProprietorYes

Enumeration DateJune 21, 2025

NPPES CertifiedJune 21, 2025

✔ NPI 1679460745 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

License✔ Licensed in TN · 1730

1510 STUART RD NE STE 101, Cleveland, TN 37312

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLYNDORA SPRING CONDON MS, LPC, CTMH, CCTP,

Counselor (Professional)

1510 STUART RD NE STE 101
CLEVELAND, TN 37312

Bradley County (423) 790-4906

HEAL AND HOPE COUNSELING SERVICES LLC

Counselor (Professional)

1510 STUART RD NE STE 101
CLEVELAND, TN 37312

Bradley County (423) 790-4906

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 Jacquelyn Cooper's NPI number?

The NPI number for Jacquelyn Cooper is 1679460745. It was assigned to this individual provider in the NPPES registry on June 21, 2025.

Where is Jacquelyn Cooper located?

Jacquelyn Cooper practices at 1510 Stuart Rd NE Ste 101, Cleveland, TN 37312. The listed phone number is (423) 790-4906.

What is Jacquelyn 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 Jacquelyn Cooper was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.