Rafael Cooke
Individual provider Active NPI Mental Health Counselor · Alsip, IL
NPI 1376419135 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1376419135
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 3643 W Deer Park Dr
Alsip, IL 60803-1085 - Phone
- (708) 824-7225
- NPI assigned
- Oct 16, 2025
- Sex
- Unspecified or another gender identity
- 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mindful Sistah Wellness and Counseling Services | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
3643 W Deer Park Dr
Alsip, IL 60803-1085
Mailing address
3643 W Deer Park Dr
Alsip, IL 60803-1085
Other providers in Alsip, IL
- Brittany Chapan
- Charles Anthony Charrier
- Chicagoland Wellmed Center SC
- Iesha Coleman-Nwagwu
- Community Health Management and Family Services
- Craig Kostrubala DDS LLC
- Maggi Crockett
- Ankita Dalal
- George Pantelis Danos
- Aisha Daoud
All providers in Alsip, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. 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.