KENDRA MICHELLE COOPER BHP, LAC
NPI 1710798962
Counselor in Phoenix, AZ

Q: What is Kendra Cooper's NPI number?

The NPI number for Kendra Cooper is 1710798962. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Q: What is Kendra Cooper's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Cooper was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 16, 2025PECOS Enrolled

502 N 27TH AVE, PHOENIX, AZ 85009(602) 258-6797 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kendra Michelle Cooper Bhp, Lac NPPES

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

KENDRA MICHELLE COOPER BHP, LAC (NPI 1710798962) is an individual counselor in Phoenix, Arizona, licensed in Arizona (LAC-21062) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710798962

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKENDRA MICHELLE COOPERCredential: BHP, LAC

Location Address502 N 27TH AVEPhoenix, AZ 85009-4420

Mailing Address7212 W Lewis AvePhoenix, AZ 85035-1342

Phone(602) 258-6797

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 16, 2025

NPPES CertifiedJanuary 16, 2025

✔ NPI 1710798962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · LAC-21062

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

502 N 27TH AVE, Phoenix, AZ 85009

Open in Google Maps ↗

Secondary Practice Location 1

Location 13807 N 7th StPhoenix, AZ 85014-5005 · Phone (602) 258-6797

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Michelle Cooper Bhp, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012493380

PECOS Enrollment IDI20260107002230

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.

Other Providers at the Same Location NPPES 6

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

MS. TINA M ARGUETA LPC

Counselor (Professional)