MEDICARE: JAMES COOPER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		OH

General Provider Information

NPI Number	:	1235766379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES COOPER

Provider Business Mailing Address
First Line	:	1704 PROSPECT ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-4529
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1704 PROSPECT ST
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45503-4529
Country	:	US
Telephone Number	:	937-561-4101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2020
Last Update Date	:	03/01/2024

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1497513832 — THOMAS ROLLINS
Practice Location Address:

1704 PROSPECT ST
SPRINGFIELD, OH
45503-4529

Practice Phone: 937-561-4101
Practice Fax:

1548028996 — KELLY WALKER
Practice Location Address:

1704 PROSPECT ST
SPRINGFIELD, OH
45503-4529

Practice Phone: 937-561-4101
Practice Fax:

1508711557 — SODALIS MENTAL WELLNESS LLC
Practice Location Address:

1024 CHEYENNE AVE
SPRINGFIELD, OH
45503-6109

Practice Phone: 937-408-7912
Practice Fax:

1346785623 — EMILY NEELY
Practice Location Address:

1024 CHEYENNE AVE
SPRINGFIELD, OH
45503-6109

Practice Phone: 937-408-7912
Practice Fax:

1235132135 — DR. JERRY KEITH SHELL MD
Practice Location Address:

2254 OLYMPIC ST
SPRINGFIELD, OH
45503-2737

Practice Phone: 937-399-8287
Practice Fax: 937-399-1670

Directions to “ JAMES COOPER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.