MR. KERRY COOPER CASAC
NPI 1710056726
Counselor - Addiction (Substance Use Disorder) in Bronx, NY

Active since November 06, 2006
3584 JEROME AVE, BRONX, NY 10467(718) 653-1537(718) 882-1426 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kerry Cooper Casac NPPES

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

MR. KERRY COOPER CASAC (NPI 1710056726) is an individual addiction (substance use disorder) provider in Bronx, New York, licensed in New York (12174) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1710056726
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KERRY COOPERCredential: CASAC
Location Address3584 JEROME AVEBronx, NY 10467-1006
Mailing AddressPo Box 31094Hartford, CT 06154-0001 · (518) 952-8140 · Fax (518) 952-8287
Fax(718) 882-1426
Sole ProprietorNo
Enumeration DateNovember 6, 2006
Last NPPES UpdateMarch 13, 2009
NPI 1710056726 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 NY · 12174
3584 JEROME AVE, Bronx, NY 10467

Other Identifiers 1

Medicaid01420795NY

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))
3584 JEROME AVE
BRONX, NY 10467
Counselor (Addiction (Substance Use Disorder))
3584 JEROME AVE
BRONX, NY 10467
Counselor (Addiction (Substance Use Disorder))
3584 JEROME AVE
BRONX, NY 10467
Counselor (Addiction (Substance Use Disorder))
3584 JEROME AVE
BRONX, NY 10467
Internal Medicine (Gastroenterology)
3584 JEROME AVE
BRONX, NY 10467
Social Worker
3584 JEROME AVE
BRONX, NY 10467
Counselor (Addiction (Substance Use Disorder))
3584 JEROME AVE
BRONX, NY 10467
Counselor (Addiction (Substance Use Disorder))
3584 JEROME AVE
BRONX, NY 10467

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 1710056726. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Kerry Cooper located?

Kerry Cooper practices at 3584 Jerome Ave, Bronx, NY 10467. The listed phone number is (718) 653-1537.

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 March 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.