Ann R Cook, BA, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304497 Issued in MN

Practice address

7501 80TH St S Ste 108
Cottage Grove, MN 55016-4121

Phone

(612) 564-8073

Fax

(651) 925-0453

NPI assigned

May 22, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

Practice roles

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.

• Nivon Wellness Center LLC

  • Substance Abuse Rehabilitation Facility
  • Cottage Grove, MN
  • NPI 1376030700
  NPD (past)

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1093372302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 HEWITT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7501 80TH ST S STE 108",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164121",
            "telephone_number": "612-564-8073",
            "fax_number": "651-925-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANN",
        "middle_name": "R",
        "credential": "BA, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances E Churchill
• City of Cottage Grove
• Casandra Jewel Clark
• Comfortcare Services Co
• Consilon
• Cottage Grove Chiropractic Clinic, PA
• Cottage Grove Smiles Dentistry, PC
• Cottage Grove WP, LLC
• Jodi J Cowan, LPC
• Sarah Crandall, L.M.T.

• Addiction (Substance Use Disorder) Counselor in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.