Lynne Tracy Cooke, LMHC,MA
Individual provider Active NPI Mental Health Counselor · Sterling, MA
NPI 1104985324 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104985324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1594 (MA)
- Practice address
- 2 Beverly Dr
Sterling, MA 01564-2150 - Phone
- (978) 422-2300
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 Monument SQ
Suite 200
Leominster, MA 01453-5711
15 Monument SQ
Suite 200
Leominster, MA 01453-6188
Phone (978) 422-2300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20260304000356 | MA | Practitioner - Mental Health Counselor | 8224510870 | Practice locations: Leominster, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1594 | MA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1594 | MA | Yes |
Addresses
Primary practice location
2 Beverly Dr
Sterling, MA 01564-2150
Mailing address
101 Russell Hill Rd
Ashburnham, MA 01430-1315
Phone (978) 422-2300
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- Michael Curtin
- Bridget Gilroy D'Amelio
- Judy Denault
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All providers in Sterling, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.