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

Individual provider Counselor · NPI 1710798962

Kendra Michelle Cooper, BHP, LAC is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

502 N 27th Ave
Phoenix, AZ 85009-4420
Phone: (602) 258-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3807 N 7th St, Phoenix, AZ 85014-5005 — (602) 258-6797

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LAC-21062 (AZ)

Record details

NPI number1710798962
Entity typeIndividual (Type 1)
GenderFemale
Credentials BHP , LAC
Sole proprietorYes
NPI enumeratedJanuary 16, 2025
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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