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Deactivated NPI 1548410830 Deactivated / Inactive NPI Female Practitioner

Angela G Cooper , BSW MA

Counselor • Daytona Beach, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Angela Cooper has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 24, 2008
NPI Deactivation Date September 09, 2019
Total Practice Duration ~11 Years of Practice (2008 – 2019)

Professional Overview & Biography Verified Profile Summary

Angela Cooper, BSW MA was a registered Counselor practicing in Daytona Beach, FL. Throughout an active medical career spanning 11 years, Angela Cooper provided care at the practice location at 259 BILL FRANCE BLVD STE 200 until profile deactivation on 2019-09-09.

Practice Location & Contact Primary Location

Practice Address

259 Bill France Blvd Ste 200

Daytona Beach, FL 321141316

Telephone 3862068071
Fax 3868681978

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
38 Specialists

Practicing in Daytona Beach, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Jennifer Jansen , MS

Marriage & Family Therapist

NPI 1023356888

Master of Science

Eden Star

Counselor

NPI 1053721266
NPI 1063769974

Master of Science

NPI 1073486080
Kohei Mochizuki , LMHC

Counselor - Mental Health

NPI 1093038499

Licensed Mental Health Counselor

Karan Crawford , LPN

Licensed Practical Nurse

NPI 1104215979

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 09, 2019

Record deactivated on September 09, 2019

NPI Profile Active October 21, 2013

NPI status registered as active in NPPES database

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Updated Practice Location October 21, 2013

Registered at 259 BILL FRANCE BLVD STE 200, DAYTONA BEACH, FL 321141316 (Tel: 3862068071)

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Updated Business Mailing Address October 21, 2013

Registered at 204 S 13TH ST, PALATKA, FL 321774502 (Tel: 3865461544)

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Provider Name / Credentials Updated October 21, 2013

Recorded as ANGELA COOPER, BSW MA

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2013

Counselor

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Initial NPI Registration & Enumeration September 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548410830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2008
Last Update: October 21, 2013
Deactivation Date: September 09, 2019

Mailing Address

204 S 13th St

Palatka, FL 321774502

Phone: 3865461544

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.