Michayla Cook, LMHC
Individual provider Active NPI Mental Health Counselor · Fort Walton Beach, FL
NPI 1093676660 · NPPES record last updated Nov 21, 2025
Key facts
- NPI
- 1093676660
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- CTB-2025-0144 (NM)
- Practice address
- 991 Southern Oaks CT
Fort Walton Beach, FL 32547-4216 - Phone
- (575) 749-0098
- NPI assigned
- Nov 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
609 Jeanie Dr
Clovis, NM 88101-9378
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260303001721 | NM | Practitioner - Mental Health Counselor | 3577045251 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2025-0144 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agape Counseling, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CTB-2025-0144 | NM | Yes |
Addresses
Primary practice location
991 Southern Oaks CT
Fort Walton Beach, FL 32547-4216
Mailing address
991 Southern Oaks CT
Fort Walton Beach, FL 32547-4216
Other providers in Fort Walton Beach, FL
- Complete Rehabilitation Services, Inc.
- Comprehensive Pain Medicine Inc
- Melodie Lynn Conti
- Brandon Wade Cook
- Darren L. Cook
- Candace Sue Cooley
- Sally A. Cooper
- Yvonne Cooper
- Sydney Ilana Cope
- Crystal Gillette Copeland
All providers in Fort Walton Beach, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.