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

Heather Cooper

Individual provider Professional Counselor · NPI 1568058238

Heather Cooper is a Mental Health Counselor in Kenosha, Wisconsin. Qualified in 2020, 6 years ago. Practices with Professional Services Group Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2108 63rd St
Kenosha, WI 53143-4454
Phone: (262) 652-2406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10203-125 (WI)
Professional Counselor Taxonomy 101YP2500X · Licence 4832-226 (WI)

Record details

NPI number1568058238
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 17, 2020
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address2108 63rd St, Kenosha, WI 53143-4454

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Professional Services Group Inc. — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha