Tye Lynn Cooper, is a
Peer Specialist based in Sacramento, California. Tye Lynn Cooper is licensed to practice in * (Not Available) (license number ) and her current practice location is
8912 Volunteer Ln, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 344-0199.
NPI number for Tye Lynn Cooper is 1134878952 and her current mailing address is 8912 Volunteer Ln, Sacramento, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134878952.
Healthcare Provider's Profile
| Full Name | Tye Lynn Cooper |
|---|
| Gender | Female |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 8912 Volunteer Ln, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134878952
- Provider Enumeration Date: 03/20/2022
- Last Update Date: 09/22/2023
Medical Identifiers
Medical identifiers for Tye Lynn Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134878952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tye Lynn Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tye Lynn Cooper,
8912 Volunteer Ln,
Sacramento, CA 95826-3221
Ph: (916) 344-0199 | Tye Lynn Cooper,
8912 Volunteer Ln,
Sacramento, CA 95826-3221
Ph: (916) 344-0199 |
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