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

Dr. John D Cooley, PHD

Individual provider Professional Counselor · NPI 1992857056

Dr. John D Cooley, PHD is a Mental Health Counselor in Jackson, Missouri. Qualified in 1992, 34 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
34
Licensed in
MO
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

810 E Jackson Blvd Ste B1
Jackson, MO 63755-2432
Phone: (573) 243-4411
Fax: (573) 243-7276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CS001856 (MO)

Record details

NPI number1992857056
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 17, 2007
Last updated in NPPESJuly 9, 2007
Mailing address810 E Jackson Blvd, Suite B1, Jackson, MO 63755-2432

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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