Leisa Keisha Cook, LPC-A, LCAS-A
Individual provider Active NPI Professional Counselor · Cameron, NC
NPI 1255799920 · NPPES record last updated Feb 9, 2016
Key facts
- NPI
- 1255799920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- A11962 (NC)
- Practice address
- 75 Grover PL
Cameron, NC 28326-6210 - Phone
- (910) 824-3865
- NPI assigned
- Feb 9, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS22226 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A11962 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benevolent Counseling, PLLC | Professional | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS22226 | NC | |
| Professional Counselor | 101YP2500X | A11962 | NC | Yes |
Addresses
Primary practice location
75 Grover PL
Cameron, NC 28326-6210
Mailing address
75 Grover PL
Cameron, NC 28326-6210
Phone (910) 824-3865
Other providers in Cameron, NC
- Emma Clevinger
- Spencer Elizabeth Clevinger
- Rebecca D Cole
- Jeffrey David Connell
- Nevaeh I Constant
- Amy Corder
- Asiah Cordero
- Britany Mary Correa-Ramirez
- Mirinda Cossel
- Mia Creekmore
All providers in Cameron, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.