Individual provider Active NPI

Hannah Mykel Cook, BA, MA, LLMFT, LLPC

  • Marriage & Family Therapist
  • Buchanan, MI
National Provider Identifier
1336715523
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
118 Main St
Buchanan, MI 49107-1455
Phone
(219) 617-5571
NPI assigned
May 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

118 Main St
Buchanan, MI 49107-1455

Mailing address

2226 Ribourde Dr
South Bend, IN 46628-3447
Phone (219) 617-5571

Other practice location 1

2226 Ribourde Dr
South Bend, IN 46628-3447
Phone (219) 617-5571

Other names 1

  • Hannah Mykel Wozniak Former name

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
Credentials
Bachelor of Arts, Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
The Nurturing Willow, LLC Counselor CurrentSince Jun 16, 2024 Accepting new patients
Family Therapy & Development Centers Inc Mental Health PastSince Sep 1, 2022 Accepting new patients
Donarski Center for Mental Health Counseling Mental Health PastSince Sep 1, 2022 Accepting new patients

Locations

118 Main St
Buchanan, MI 49107
Phone (219) 617-5571

Organizations & group practices 3

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": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1336715523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 RIBOURDE DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466283447",
            "telephone_number": "219-617-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071455",
            "telephone_number": "219-617-5571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2226 Ribourde Dr",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466283447",
            "country_code": "US",
            "telephone_number": "219-617-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "HANNAH",
        "middle_name": "MYKEL",
        "credential": "BA, MA, LLMFT, LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-28",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "WOZNIAK",
            "middle_name": "MYKEL",
            "credential": "BA, MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buchanan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.