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JOSHUA NICHOLUS COOPER LPC, LMFT
NPI 1790546976
Counselor - Professional in Bryan, TX

Active since January 16, 2024Opted out of Medicare · through Feb 15, 2028
2490 BOONVILLE RD STE 100, BRYAN, TX 77808(979) 703-1808(979) 485-9898 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Joshua Nicholus Cooper Lpc, Lmft NPPES

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

JOSHUA NICHOLUS COOPER LPC, LMFT (NPI 1790546976) is an individual professional provider in Bryan, Texas, licensed in Texas (80557) and active in the NPI registry since January 2024. He has opted out of Medicare through February 15, 2028.

NPPES Registry Identity

NPI1790546976
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOSHUA NICHOLUS COOPERCredential: LPC, LMFT
Location Address2490 BOONVILLE RD STE 100Bryan, TX 77808-2327
Mailing AddressPo Box 10908College Station, TX 77842-0908 · (936) 569-4232
Phone(979) 703-1808
Fax(979) 485-9898
Sole ProprietorYes
Enumeration DateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1790546976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 80557
2490 BOONVILLE RD STE 100, Bryan, TX 77808
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Joshua Nicholus Cooper Lpc, Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 15, 2024 through February 15, 2028.

Opt-Out Effective DateFebruary 15, 2024
Opt-Out In Effect ThroughFebruary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

EMILY BURROW LMFT
Marriage & Family Therapist
2490 BOONVILLE RD STE 100
BRYAN, TX 77808
Brazos County (979) 703-1808

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 Joshua Cooper's NPI number?

The NPI number for Joshua Cooper is 1790546976. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Joshua Cooper located?

Joshua Cooper practices at 2490 Boonville Rd Ste 100, Bryan, TX 77808. The listed phone number is (979) 703-1808.

What is Joshua Cooper's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Joshua Cooper enrolled in Medicare?

No. Joshua Cooper has opted out of Medicare through February 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Joshua Cooper was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.