Individual provider Active NPI

Patricia Jane Cook, M.A. LMFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1184879496
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
#T0392 Issued in OR
Practice address
13831 NW Cornell Rd
Suite 104
Portland, OR 97229-2286
Phone
(503) 349-6171
Fax
(503) 645-6504
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X #T0392 OR Primary

Addresses

Primary practice location

13831 NW Cornell Rd
Suite 104
Portland, OR 97229-2286

Mailing address

13831 NW Cornell Rd
Suite 104
Portland, OR 97229-2286
Phone (503) 349-6171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
#T0392ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1184879496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13831 NW CORNELL RD",
            "address_2": "SUITE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292286",
            "telephone_number": "503-349-6171",
            "fax_number": "503-645-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13831 NW CORNELL RD",
            "address_2": "SUITE 104",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972292286",
            "telephone_number": "503-349-6171",
            "fax_number": "503-645-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "PATRICIA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "M.A. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "#T0392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.