Individual provider Active NPI

Jasmin Andrea Cooke, LCSW-C

  • Behavior Technician
  • Severna Park, MD
National Provider Identifier
1053832881
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-16-27494 Issued in TX
Practice address
645 Baltimore Annapolis Blvd Ste 216
Severna Park, MD 21146-3934
Phone
(410) 544-0444
NPI assigned
Jul 1, 2017
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Behavior Technician 106S00000X RBT-16-27494 TX Primary

Addresses

Primary practice location

645 Baltimore Annapolis Blvd Ste 216
Severna Park, MD 21146-3934

Mailing address

739 Shallow Ridge CT
Abingdon, MD 21009-3016
Phone (915) 474-6260

Other practice location 1

7175 Columbia Gateway Dr Ste A
Columbia, MD 21046-2536
Phone (888) 344-5977

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
RBT-16-27494TXMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1053832881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 SHALLOW RIDGE CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210093016",
            "telephone_number": "915-474-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD STE 216",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463934",
            "telephone_number": "410-544-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 Columbia Gateway Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210462536",
            "country_code": "US",
            "telephone_number": "888-344-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JASMIN",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-16-27494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.