Healthcare Provider Details

I. General information

NPI: 1073244216
Provider Name (Legal Business Name): CHANECE COOPER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 SW CHELSEA DR
TOPEKA KS
66614-1756
US

IV. Provider business mailing address

2121 SW CHELSEA DR
TOPEKA KS
66614-1756
US

V. Phone/Fax

Practice location:
  • Phone: 785-291-9644
  • Fax:
Mailing address:
  • Phone: 785-291-9644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number05392
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number05392
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: