Active NPI
Michael David Cook, LCPC
- Mental Health Counselor
- Hoffman Estates, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.015105
- Practice address
- 5865 Leeds Rd
Hoffman Estates, IL 60192-4147 - Phone
- (630) 546-8364
- NPI assigned
- Apr 26, 2024
- Last updated
- Apr 26, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180.015105 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Social Services of Illinois | Current | Accepting new patients | |
| Lutheran Social Services of Illinois | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063637684
-
dba Welcoming Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1144613746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.