DR. JENNIFER R COOPER PHD
NPI 1760409254
Psychologist - Clinical Child & Adolescent in Corvallis, OR

Q: What is Jennifer Cooper's NPI number?

The NPI number for Jennifer Cooper is 1760409254. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Jennifer Cooper's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Cooper was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment

833 NW BUCHANAN AVE # 10, CORVALLIS, OR 97330(541) 738-4433 Get Directions Write a Review

NPPES record last updated: November 5, 2007. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Dr. Jennifer R Cooper Phd NPPES

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

DR. JENNIFER R COOPER PHD (NPI 1760409254) is an individual clinical child & adolescent provider in Corvallis, Oregon, licensed in Oregon (1835) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1760409254

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. JENNIFER R COOPERCredential: PHD

Location Address833 NW BUCHANAN AVE # 10Corvallis, OR 97330-6217

Mailing Address833 Nw Buchanan Ave # 10Corvallis, OR 97330-6217

Phone(541) 738-4433

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 17, 2006

Last NPPES UpdateNovember 5, 2007

✔ NPI 1760409254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in OR · 1835

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY00003510 (WA)

833 NW BUCHANAN AVE # 10, Corvallis, OR 97330

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer R Cooper Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507025939

PECOS Enrollment IDI20120305000456

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 Jennifer Cooper's NPI number?

The NPI number for Jennifer Cooper is 1760409254. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Jennifer Cooper located?

Jennifer Cooper practices at 833 NW Buchanan Ave # 10, Corvallis, OR 97330. The listed phone number is (541) 738-4433.

What is Jennifer Cooper's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jennifer Cooper enrolled in Medicare?

Yes. Jennifer Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennifer Cooper was last updated on November 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.