Individual provider Active NPI

Michael David Cook, LCPC

  • Mental Health Counselor
  • Hoffman Estates, IL
National Provider Identifier
1154177590
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
180.015105 Issued in IL
Practice address
5865 Leeds Rd
Hoffman Estates, IL 60192-4147
Phone
(630) 546-8364
NPI assigned
Apr 26, 2024
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180.015105 IL Primary

Addresses

Primary practice location

5865 Leeds Rd
Hoffman Estates, IL 60192-4147

Mailing address

5865 Leeds Rd
Hoffman Estates, IL 60192-4147
Phone (630) 546-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250814000105 IL Practitioner - Mental Health Counselor 1153829536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1001 E Touhy Ave
Suite 50
Des Plaines, IL 60018-5817

8640 S 86TH Ave
Apt 313
Justice, IL 60458-2164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.015105ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Social Services of Illinois Current Accepting new patients
Lutheran Social Services of Illinois CurrentSince Jun 5, 2025 Accepting new patients

Locations

4840 W Byron St
Chicago, IL 60641
Phone (773) 282-7800

1001 E Touhy Ave
Ste 170
Des Plaines, IL 60018
Phone (847) 390-1422

1001 E Touhy Ave
Ste 50
Des Plaines, IL 60018

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1154177590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 LEEDS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924147",
            "telephone_number": "630-546-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 LEEDS RD",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924147",
            "telephone_number": "630-546-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.015105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.