Individual provider Active NPI

Johnette Bland Cook, MS

  • Mental Health Counselor
  • Corpus Christi, TX
National Provider Identifier
1205402369
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80964 Issued in TX
Practice address
1022 Chamberlain St
Corpus Christi, TX 78404-2607
Phone
(361) 688-1475
Fax
(361) 356-4315
NPI assigned
May 31, 2021
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 80964 TX
Mental Health Counselor 101YM0800X 80964 TX Primary
Professional Counselor 101YP2500X 80964 TX

Addresses

Primary practice location

1022 Chamberlain St
Corpus Christi, TX 78404-2607

Mailing address

1022 Chamberlain St
Corpus Christi, TX 78404-2607
Phone (361) 688-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240318001157 TX Practitioner - Mental Health Counselor 3577900281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
80964TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unique Counseling & Consulting PLLC CurrentSince Jan 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1205402369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 CHAMBERLAIN ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042607",
            "telephone_number": "361-688-1475",
            "fax_number": "361-356-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 CHAMBERLAIN ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042607",
            "telephone_number": "361-688-1475",
            "fax_number": "361-356-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JOHNETTE",
        "middle_name": "BLAND",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "80964",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80964",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.