| Heather Cooper, | |
|
8500 Green Bay Rd, Pleasant Prairie, WI 53158-2721 | |
| (262) 652-2406 | |
| Not Available |
| Full Name | Heather Cooper |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 8500 Green Bay Rd, Pleasant Prairie, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568058238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10203-125 (Wisconsin) | Primary |
| 101YP2500X | Counselor - Professional | 4832-226 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Services Group Inc. | 8224296454 | 22 |
| Entity Name | Professional Services Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619024262 PECOS PAC ID: 8224296454 Enrollment ID: O20120220000742 |
| Entity Name | Mental Health Specialty Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240729000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Cooper, 2108 63rd St, Kenosha, WI 53143-4454 Ph: (262) 652-2406 | Heather Cooper, 8500 Green Bay Rd, Pleasant Prairie, WI 53158-2721 Ph: (262) 652-2406 |
Sarah Michelle Chase, Counselor Medicare: Medicare Enrolled Practice Location: 10411 Corporate Dr Ste 110, Pleasant Prairie, WI 53158 Phone: 262-496-1202 |
Jessica Martzahl, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8500 Green Bay Rd, Pleasant Prairie, WI 53158 Phone: 262-652-2406 |
Mrs. Angela J Kuffel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8500 Green Bay Rd, Pleasant Prairie, WI 53158 Phone: 262-652-2406 Fax: 262-652-2408 |
Angela Dellise, LPC, CSAC, CS-IT Counselor Medicare: Accepting Medicare Assignments Practice Location: 8500 Green Bay Rd, Pleasant Prairie, WI 53158 Phone: 262-652-2406 |
Dr. Richard Earl Averbeck, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 7941 112th Ave, Pleasant Prairie, WI 53158 Phone: 262-697-1877 |
Jennifer Free, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 8500 Green Bay Rd, Pleasant Prairie, WI 53158 Phone: 262-652-2406 |
Miss Jessica M Key, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 9130 83rd St Apt 133, Pleasant Prairie, WI 53158 Phone: 262-327-7452 |