MRS. AUTUMN MICHELLE COOPER (MBS, LPC) – Professional Counselor, NPI 1013059674

MRS. AUTUMN MICHELLE COOPER (MBS, LPC) is a healthcare provider. based in Ardmore, Oklahoma. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MBS, LPC. They hold a License No. 3658 (OK). The NPI Number for MRS. AUTUMN MICHELLE COOPER (MBS, LPC) is 1013059674

Main info

Female
23 Years Of Experience
Name
MRS. AUTUMN MICHELLE COOPER (MBS, LPC)
NPI
1013059674
Phone
(580) 223-9705
Address
405 S WASHINGTON ST
Enumeration Date
12 February 2007
Last Update Date
3 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
3779070149
Professional Enrollment ID
I20251017002901
Address ID
OK730525634LI216XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,199 MENTAL HEALTH COUNSELOR in OK

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Provider Addresses for MRS. AUTUMN MICHELLE COOPER (MBS, LPC)

  • 405, South Washington Street, Ardmore, Carter County, Oklahoma, 73401, United States

    ARDMORE, OK 734017044

    Phone: (580) 223-9705

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251017002901IMental Health CounselorOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73401)

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Reviews

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Frequently asked questions

What is the standard ID for MRS. AUTUMN MICHELLE COOPER (MBS, LPC) in the U.S.?
In the U.S., MRS. AUTUMN MICHELLE COOPER (MBS, LPC) is identified by NPI 1013059674.
Is MRS. AUTUMN MICHELLE COOPER (MBS, LPC)'s NPI status active today?
Active status means MRS. AUTUMN MICHELLE COOPER (MBS, LPC)'s NPI record is not deactivated in the public file.
What services align with MRS. AUTUMN MICHELLE COOPER (MBS, LPC)'s listing?
MRS. AUTUMN MICHELLE COOPER (MBS, LPC)'s public classification highlights Professional Counselor. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. AUTUMN MICHELLE COOPER (MBS, LPC) in Ardmore, Oklahoma?
For routing, start with Ardmore, Oklahoma for MRS. AUTUMN MICHELLE COOPER (MBS, LPC), then verify phone and hours locally.
Why is information missing for MRS. AUTUMN MICHELLE COOPER (MBS, LPC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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