Lindsey Cooke, LMHC
Individual provider Active NPI Mental Health Counselor · Chattahoochee, FL
NPI 1215775317 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1215775317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH24004 (FL)
- Practice address
- 101 S Main St
Chattahoochee, FL 32324-1538 - Phone
- (305) 219-4740
- NPI assigned
- Jul 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3800 W Broward Blvd
Suite 100
Ft Lauderdale, FL 33312-1018
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260605000046 | FL | Practitioner - Mental Health Counselor | 8921579400 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH24004 | FL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH24004 | FL | Yes |
Addresses
Primary practice location
101 S Main St
Chattahoochee, FL 32324-1538
Mailing address
101 S Main St
Chattahoochee, FL 32324-1538
Phone (305) 219-4740
Other providers in Chattahoochee, FL
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- Tiffany Elisabeth Brown
- Tina Rena Brown
- Kimberly Ann Burnsed
- Trina L Christner-Renfroe
- Stacey Copeland
- Dresa Delane Craven
- Jessica Crawford
- Jessica Nicole Davis
- Ngoc Quang Dong
All providers in Chattahoochee, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.