Individual provider Active NPI

Brittany M Cook, LPAT, ATR-BC, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1366093072
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
267462 Issued in KY
Practice address
4010 Dupont Cir Ste 419
Louisville, KY 40207-4837
Phone
(502) 409-6993
Fax
(502) 409-6775
NPI assigned
Sep 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 252714 KY
Professional Counselor 101YP2500X 267462 KY Primary

Addresses

Primary practice location

4010 Dupont Cir Ste 419
Louisville, KY 40207-4837

Mailing address

4722 S 3Rd St
Louisville, KY 40214-2124
Phone (502) 938-8255

Other practice location 1

4722 S 3rd St
Louisville, KY 40214-2124
Phone (502) 538-8255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Brcook@homeoftheinnocents.org Home of the Innocents, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240116003830 KY Practitioner - Mental Health Counselor 7214389113 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
267462KYMDProfessional Counselor
252714KYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Health, Inc CurrentSince Jan 1, 2024 Accepting new patients
Home of the Innocents Professional Past Accepting new patients

Locations

4010 DuPont Cir
Ste 419
Louisville, KY 40207
Phone (502) 409-6993

Interoperability endpoints

  • Direct secure messaging: brcook@homeoftheinnocents.org

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": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1366093072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 S 3RD ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402142124",
            "telephone_number": "502-938-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 DUPONT CIR STE 419",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074837",
            "telephone_number": "502-409-6993",
            "fax_number": "502-409-6775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4722 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402142124",
            "country_code": "US",
            "telephone_number": "502-538-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "BRITTANY",
        "middle_name": "M",
        "credential": "LPAT, ATR-BC, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "252714",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "267462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Brcook@homeoftheinnocents.org",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Home of the Innocents, Inc.",
            "address_1": "1100 E Market St",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402061838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.