Michael Allen Cook, LAC-23402

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Practice address

6602 E Carondelet Dr # 85710
Tucson, AZ 85710-2119

Phone

(520) 524-4757

NPI assigned

Mar 14, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1194525626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 E 42ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857302115",
            "telephone_number": "907-209-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 E CARONDELET DR # 85710",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102119",
            "telephone_number": "520-524-4757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9301 E 42nd St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857302115",
            "country_code": "US",
            "telephone_number": "907-209-0829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "credential": "LAC-23402",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas G Cook, FNP
• John Cook
• Kirsten Cook, M.A.
• Kyle Eric Cook, MD
• Lorna Cook, APN
• Phillip Jeffery Cook, NP
• Ronnie Lynn Cook, D.D.S., M.S.D.
• Samuel George Cook, DO
• Sherron Sue Cook, PA-C
• Skylar Cook, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.