Individual provider Active NPI

Laurel Jackson-Cook, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1023696010
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81496 Issued in TX
Practice address
18707 Hardy Oak Blvd Ste 400
San Antonio, TX 78258-4791
Phone
(877) 504-8504
NPI assigned
Mar 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 81496 TX Primary

Addresses

Primary practice location

18707 Hardy Oak Blvd Ste 400
San Antonio, TX 78258-4791

Mailing address

5711 N Knoll Apt 738
San Antonio, TX 78240-2212
Phone (469) 386-9991

Other practice location 1

4301 Broadway
San Antonio, TX 78209-6318
Phone (469) 386-9991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
81496TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1023696010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 N KNOLL APT 738",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402212",
            "telephone_number": "469-386-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18707 HARDY OAK BLVD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584791",
            "telephone_number": "877-504-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Broadway",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782096318",
            "country_code": "US",
            "telephone_number": "469-386-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-COOK",
        "first_name": "LAUREL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.