Stephanie Cheyenne Cooke, MA, LMFTA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12234A Issued in NC

Practice address

1022 W 1St St Ste 203
Winston Salem, NC 27101-3642

Phone

(336) 914-3038

NPI assigned

May 4, 2021

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

Master of Arts

State licenses

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1124601455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 W 1ST ST STE 203",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013642",
            "telephone_number": "336-914-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W 1ST ST STE 203",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013642",
            "telephone_number": "336-914-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "STEPHANIE",
        "middle_name": "CHEYENNE",
        "name_prefix": "Ms.",
        "credential": "MA, LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12234A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Cook, MD
• Julia Christine Cook, MD
• Ladonna Ward Cook, FNP-C
• Madison Lynn Cook
• Wanda Louanne Cook, LCMHCA
• Lisa Anne Cooleen, N.P.
• Maille Coombs, M.S. CCC-SLP
• Andrea Magri Coomer, CRNA
• Edward Bradley Coomer, CRNA
• Grayson Coon, MD

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, 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 May 4, 2021; 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.