Individual provider

Katherine Cooper, LCPC, LPCC

Professional Counselor Case Manager/Care Coordinator Mental Health Counselor Medicare enrolled

Katherine Cooper, LCPC, LPCC is a Professional Counselor in Jamestown, ND, registered under NPI 1053177808. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 800 12TH AVE NE APT 140, Jamestown, ND 58401. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

800 12TH AVE NE APT 140, Jamestown, ND 58401 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
180.018151 IL Professional Counselor primary
101500 TX Professional Counselor
8321003 ID Professional Counselor
70080587 WA Mental Health Counselor
C11493 OR Professional Counselor
1350-4-1-24-600 ND Professional Counselor

Licences are recorded in 6 states: IL, TX, ID, WA, OR, ND. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
2466994413
Enrollment ID
I20240606001019

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 6 states

This provider holds licences in 6 states: Idaho, Illinois, North Dakota, Oregon, Texas and Washington. The practice address on file is in Jamestown, ND, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

ID Idaho
Licence
8321003
Specialty
Professional Counselor
Verify with the ID board →
IL Illinois
Licence
180.018151
Specialty
Professional Counselor
Verify with the IL board →
ND North Dakota practice address
Licence
1350-4-1-24-600
Specialty
Professional Counselor
Verify with the ND board →
OR Oregon
Licence
C11493
Specialty
Professional Counselor
Verify with the OR board →
TX Texas
Licence
101500
Specialty
Professional Counselor
Verify with the TX board →
WA Washington
Licence
70080587
Specialty
Mental Health Counselor
Verify with the WA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Professional covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
Behavioral Health & Social Service Providers Counselor Professional

All registered taxonomy codes

This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
101YP2500X Professional Counselor Professional 180.018151 IL primary
101YP2500X Professional Counselor Professional 101500 TX
101YP2500X Professional Counselor Professional 8321003 ID
171M00000X Case Manager/Care Coordinator
101YM0800X Mental Health Counselor Mental Health 70080587 WA
101YP2500X Professional Counselor Professional C11493 OR
101YP2500X Professional Counselor Professional 1350-4-1-24-600 ND

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053177808 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 27, 2024
Last updatedMay 26, 2026
StatusActive
Sole proprietorYes
CredentialLCPC, LPCC
Practice address 800 12TH AVE NE APT 140
Jamestown, ND 58401
(567) 337-9937
Mailing address 8124 STATE ROUTE 140
Edwardsville, IL 62025
This record was updated on May 26, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1053177808 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 1 7 7 8 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 2 7 5 8 0

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053177808?
NPI 1053177808 is the National Provider Identifier assigned to Katherine Cooper, LCPC, LPCC in Jamestown, ND. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Professional cover?
Definition to come...
How do I contact Katherine Cooper, LCPC, LPCC?
The phone number on file with NPPES is (567) 337-9937, last updated May 26, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Katherine Cooper, LCPC, LPCC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053177808 a valid number?
Yes. 1053177808 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.