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

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: October 18, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2420 S UNION AVE
Tacoma, WA 98405
  • Reassigned Medicare billing, Oregon enrollment
  • 314 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Jennifer Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Cooper reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Tacoma, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Cooper accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jennifer Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.