Danielle Samone Kemba Cook, CPS, WHAM, CAT, CDDC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

00000000 Issued in GA

Practice address

2785 Lawrenceville Hwy Ste 205
Decatur, GA 30033-2515

Phone

(470) 363-7900

Fax

(404) 371-8928

NPI assigned

Oct 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Danielle Kemba Cook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/caringworksinc/r4/

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.

• Caringworks, Inc

  • Community/Behavioral Health Agency
  • Decatur, GA
  • NPI 1720385354
  NPD
• American Alternative Court Services, LLC

  • Community/Behavioral Health Agency
  • Marietta, GA
  • NPI 1750047684
  NPD (past)

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1134909351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 LAWRENCEVILLE HWY STE 205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332515",
            "telephone_number": "470-363-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 LAWRENCEVILLE HWY STE 205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332515",
            "telephone_number": "470-363-7900",
            "fax_number": "404-371-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DANIELLE",
        "middle_name": "SAMONE KEMBA",
        "credential": "CPS, WHAM, CAT, CDDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "GA",
            "license": "00000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "COOK",
            "middle_name": "KEMBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cayla Conway, DPM
• Jacqueline Frances Conway
• Krystal Conway
• Catherine M Cook, M.D.
• Chiqueria Cook
• Jessica Ann Cook
• Karen Cook
• Kevin Dwayne Cook, CPS
• Michael Lee Cook, LMFT
• Miniimah Eveleena Ada Cook

• Peer Specialist in Decatur, GA
• Providers in Decatur, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.