Individual provider · Type 1 NPI

Derek Cooper

Peer Specialist · Wasilla, AK

NPI number 1457277733 Active

Practice location

2650 E Broadview Ave
Wasilla, AK 99654-8302

Mailing address

591 S Knik Goose Bay Rd
Wasilla, AK 99654-8062

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1457277733

Derek Cooper's National Provider Identifier is 1457277733, issued on Jun 29, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Wasilla, AK. The record was last updated on Jun 29, 2026.