Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clay M Cooper

Individual provider Mental Health Counselor · NPI 1679076806

Clay M Cooper is a Physician Assistant in Boardman, Ohio. Qualified in 2024, 2 years ago. Practices with Mercy Health Physicians Youngstown Specialty Care LLC, a 467-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

8423 Market St
Boardman, OH 44512-6778
Phone: (330) 965-5490
Fax: (330) 965-5491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008999RX (OH)
Mental Health Counselor Taxonomy 101YM0800X · Licence C.1700347 (OH)

Record details

NPI number1679076806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 14, 2018
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address8401 Market St, Youngstown, OH 44512-6725

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mercy Health Physicians Youngstown Specialty Care Llc — 467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Boardman