Priscilla D. Cooke, MSW, LCSW, LCAS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C002692 Issued in NC

Practice address

119 West Ave
Kannapolis, NC 28081-4332

Phone

(704) 630-6634

Fax

(866) 828-5520

NPI assigned

Oct 13, 2006

Last updated

Jun 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1093805194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 POST OAK RD",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848027",
            "telephone_number": "336-993-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEST AVE",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280814332",
            "telephone_number": "704-630-6634",
            "fax_number": "866-828-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "PRISCILLA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1369",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C002692",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C002692",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003167",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jeffrey K Cook, DC
• Zachary Cook, DC
• Makenzie Rose Corbett
• Andrea Ellen Corson
• Pamela Sue Corson, LPN
• Andrea Costanzo, FNP
• County of Cabarrus (Cabarrus County Dept. of Social Services)

• Mental Health Counselor in Kannapolis, NC
• Providers in Kannapolis, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.