Active NPI
Jill Katherine Cook, LMFT
- Marriage & Family Therapist
- Grants Pass, OR
National Provider Identifier
1215248505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T0445
- Practice address
- 1590 SE N St
Grants Pass, OR 97526-4026 - Phone
- (541) 441-3707
- NPI assigned
- Jul 1, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T0445 | OR | Primary |
Addresses
Primary practice location
1590 SE N St
Grants Pass, OR 97526-4026
Mailing address
677 Pleasantville Way
Grants Pass, OR 97526-6204
Phone (541) 441-3707
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T0445 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1215248505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 PLEASANTVILLE WAY",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975266204",
"telephone_number": "541-441-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 SE N ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975264026",
"telephone_number": "541-441-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JILL",
"middle_name": "KATHERINE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-01",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T0445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.