Active NPI
Jamie Allison Cool, LCSW
- Social Worker
- Houston, TX
National Provider Identifier
1134486392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 55628
- Practice address
- 4119 Montrose Blvd
Suite 300
Houston, TX 77006-4963 - Phone
- (917) 647-7051
- NPI assigned
- Apr 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 55628 | TX | Primary |
Addresses
Primary practice location
4119 Montrose Blvd
Suite 300
Houston, TX 77006-4963
Mailing address
4119 Montrose Blvd
Suite 300
Houston, TX 77006-4963
Phone (917) 647-7051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 6, 2024 through Feb 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55628 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1134486392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4119 MONTROSE BLVD",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770064963",
"telephone_number": "917-647-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4119 MONTROSE BLVD",
"address_2": "SUITE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770064963",
"telephone_number": "917-647-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOL",
"first_name": "JAMIE",
"middle_name": "ALLISON",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "55628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.