Individual provider Active NPI

Makenzi Cooley, LMFT

  • Marriage & Family Therapist
  • Glendale, NY
National Provider Identifier
1114734845
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
002687 Issued in NY
Practice address
8009 78TH Ave
Glendale, NY 11385-7626
Phone
(347) 255-2755
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 002687 NY Primary
Marriage & Family Therapist 106H00000X F.2600596 OH

Addresses

Primary practice location

8009 78TH Ave
Glendale, NY 11385-7626

Mailing address

8009 78TH Ave
Glendale, NY 11385-7626
Phone (347) 255-2755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260213003532 NY Practitioner - Marriage and Family Therapist 2668952151 Reassigns benefits to 2 organizations
I20260608002394 OH Practitioner - Marriage and Family Therapist 2668952151 Reassigns benefits to 1 organization
I20260615000224 IN Practitioner - Marriage and Family Therapist 2668952151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

123 Grove Ave
Suite 216
Cedarhurst, NY 11516-2384

4 Williams CT
Far Rockaway, NY 11691-5162

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F.2600596OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Psychological Services P.L.L.C. CurrentSince Jun 13, 2025 Accepting new patients
Nassau Psychology, P.C. CurrentSince Feb 4, 2026 Accepting new patients
Grunblatt Psychology and Counseling Offices, P.C. Past Accepting new patients

Locations

123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 569-5200

165 N Village Ave
Ste 132
Rockville Ctr, NY 11570
Phone (516) 766-5851

165 N Village Ave
Ste 12
Rockville Ctr, NY 11570

77 N Centre Ave
Ste 310
Rockville Ctr, NY 11570
Phone (516) 740-1590

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1114734845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8009 78TH AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857626",
            "telephone_number": "347-255-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8009 78TH AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857626",
            "telephone_number": "347-255-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "MAKENZI",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "002687",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F.2600596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.