Allegra Shonta Cooper, LCMHC in Charlotte, NC

Allegra Shonta Cooper, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Charlotte, North Carolina. Her current practice location is 6324 Fairview Rd Ste 460, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 302-8611.

Allegra Shonta Cooper is licensed to practice in North Carolina (license number 9259) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003150632.

Contact Information

	Allegra Shonta Cooper, LCMHC
	6324 Fairview Rd Ste 460, Charlotte, NC 28210-3374
	(980) 302-8611
	(980) 302-8624

Map and Direction

Healthcare Provider's Profile

Full Name	Allegra Shonta Cooper
Gender	Female
Speciality	Counselor - Mental Health
Location	6324 Fairview Rd Ste 460, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003150632
Provider Enumeration Date: 11/20/2012
Last Update Date: 01/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3173976701
Enrollment ID: I20240130001972

Medical Identifiers

Medical identifiers for Allegra Shonta Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003150632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	A9259 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	9259 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Allegra Shonta Cooper allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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. Allegra Shonta Cooper is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Allegra Shonta Cooper, LCMHC Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Allegra Shonta Cooper, LCMHC 6324 Fairview Rd Ste 460, Charlotte, NC 28210-3374 Ph: (980) 302-8611

Reviews and Comments

Counselor in Charlotte, NC

Dr. Jeff Randall Mishoe, D.MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 East Blvd, C-8, Charlotte, NC 28203 Phone: 704-344-1100 Fax: 704-344-1100
Meredith Garofalo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2339 Chesterfield Ave, Charlotte, NC 28205 Phone: 773-263-6765
Reggie Moses, ST. Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 East Blvd, Charlotte, NC 28203 Phone: 704-332-0081 Fax: 704-332-0085
Dr. Terri Lynn Tilford, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262 Phone: 980-689-4127
Emily Reiner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Yadkin Ave, Charlotte, NC 28205 Phone: 470-289-6301
Lindsey Yvette Donatien, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5200 Park Rd Ste 218b, Charlotte, NC 28209 Phone: 866-700-1606 Fax: 866-338-5921

Allegra Shonta Cooper, LCMHC - Medicare Counselor in Charlotte, NC