Terry W Cook, LPC, NCC, MAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65790 Issued in TX

Practice address

100 Cactus Bend CV
Georgetown, TX 78633-5398

Phone

(512) 863-6180

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• My-Emerge PLLC

  • Clinical Social Worker
  • Austin, TX
  • NPI 1821695610
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1003024860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CACTUS BEND CV",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786335398",
            "telephone_number": "512-863-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CACTUS BEND CV",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786335398",
            "telephone_number": "512-863-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TERRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "LPC, NCC, MAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0469",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Pham, M.D.,P.a.
• Clementina Lee Connolly, MS ,CCC-SLP
• Conscious Decisions Family Therapy Services, PLLC
• Sarah Elizabeth Edmiston Contrada, PT, DPT
• Rebecca Sansom Cook, PT
• Kellsie Renae Coonce, PT, DPT
• Copper Ridge Medical PA
• Giavanna Coppola, PT, DPT
• Core Clarity Psychiatry & Behavioral Health PLLC
• William Christopher Cornman, D.D.S.

• Professional Counselor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.