| Candace Cooper, LPC | |
|
451 Baxter Ave Ste 201, Louisville, KY 40204-1177 | |
| (502) 383-2969 | |
| Not Available |
| Full Name | Candace Cooper |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 451 Baxter Ave Ste 201, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528615689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 245368 (Kentucky) | Secondary |
| 101YP2500X | Counselor - Professional | 92347 (Texas) | Primary |
| Entity Name | Family And Child Guidance Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811062367 PECOS PAC ID: 1153413711 Enrollment ID: O20070828000060 |
| Entity Name | North Texas Behavioral Health Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457720120 PECOS PAC ID: 2769804350 Enrollment ID: O20200629001278 |
| Entity Name | Next Steps Professional Counseling Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326650755 PECOS PAC ID: 3870912181 Enrollment ID: O20201005002739 |
| Mailing Address | Practice Location Address |
|---|---|
| Candace Cooper, LPC 451 Baxter Ave, Louisville, KY 40204-1177 Ph: (502) 383-2969 | Candace Cooper, LPC 451 Baxter Ave Ste 201, Louisville, KY 40204-1177 Ph: (502) 383-2969 |
Julie Taylor Locke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8100 Westport Rd, Louisville, KY 40222 Phone: 502-472-2692 | |
Megan Mcmillen, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3121 Brooklawn Campus Dr, Louisville, KY 40218 Phone: 502-212-8360 | |
Mary Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4010 Dupont Cir Ste 562, Louisville, KY 40207 Phone: 502-896-1850 | |
Elaine Stamper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 S Preston St, Louisville, KY 40202 Phone: 502-589-8600 Fax: 502-589-8771 | |
Janna Donovan, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1860 Mellwood Ave # 117, Louisville, KY 40206 Phone: 502-689-7977 Fax: 502-442-0020 | |
Molly Piper Rucks, LPCC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1169 Eastern Pkwy, #2339, Louisville, KY 40217 Phone: 502-408-3223 Fax: 888-711-1902 | |
Keith Mckenzie, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 W Broadway Ste 905, Louisville, KY 40202 Phone: 502-587-9737 |