Kristina Cooke, LCSW, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

KRISTINA COOKE, LCSW, LLC

Practice address

2854 Johnson Ferry Rd Ste 200
Marietta, GA 30062-5699

Phone

(678) 462-3579

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Kristina Cooke, LCSW, RPT-SNPI 1275873754

Title

Owner/Therapist

Phone

(678) 462-3579

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Cooke, LCSW

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1275873754
  NPD (past) Authorized official

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534982400000",
    "number": "1265913792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5368 W BANK DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300681703",
            "telephone_number": "678-462-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 JOHNSON FERRY RD STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625699",
            "telephone_number": "678-462-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA COOKE, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "678-462-3579",
        "authorized_official_credential": "LCSW, RPT-S"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krishna Podiatry Group of Georgia (Podiatry Group of Georgia)
• Nikolas G Krishna, MD
• Ranjitha Krishna, DMD, MS, MPH
• Girishkumar Krishnan, LAPC
• Kristin P Wittgen, Pediatric Occupational Therpay Services
• Sharon R Kroll, RPH
• Susan H. Kronenberger, OTR/L
• Gregory J Krown, D.C.
• Nea Krpo
• Peter Kruse

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.