Individual provider Active NPI

Kristy-Ann Cook, LGSW

  • Clinical Social Worker
  • Martinsburg, WV
National Provider Identifier
1225483233
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904011989 Issued in VA
Practice address
208 Sentry LN
Martinsburg, WV 25401-2973
Phone
(845) 242-1084
NPI assigned
Apr 27, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BP00943769 WV
Mental Health Counselor 101YM0800X 20425 MD
Clinical Social Worker 1041C0700X 0904011989 VA Primary

Addresses

Primary practice location

208 Sentry LN
Martinsburg, WV 25401-2973

Mailing address

208 Sentry LN
Martinsburg, WV 25401-2973
Phone (845) 242-1084

Other identifiers 2

IdentifierTypeStateIssuer
1225483233MedicaidVA
1225483233MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200810002226 VA Practitioner - Clinical Social Worker 2668894445 Reassigns benefits to 1 organization
I20260605002916 WV Practitioner - Clinical Social Worker 2668894445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carpe Diem CounselingGroup PAC ID 0840670329, 5 clinicians

Practice addresses (Care Compare)

200 N Braddock St
Winchester, VA 22601-3918
Phone (504) 307-1644

38 Cherokee TRL
Berkeley Springs, WV 25411-7371
Phone (540) 773-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20425MDMDMental Health Counselor
BP00943769WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carpe Diem Counseling Clinical CurrentSince Mar 28, 2022 Accepting new patients
Roxanne Ostlund LPC PLCC PastSince Jul 1, 2020 Accepting new patients

Locations

201 N Loudoun St
Ste 202
Winchester, VA 22601
Phone (540) 773-1620

200 N Braddock St
Winchester, VA 22601
Phone (504) 307-1644

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1225483233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SENTRY LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012973",
            "telephone_number": "845-242-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SENTRY LN",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012973",
            "telephone_number": "845-242-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KRISTY-ANN",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "BP00943769",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "20425",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225483233",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225483233",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.