Jennifer Cook, MA, LCMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15242 Issued in NC

Practice address

5040 New Centre Dr Ste D
Wilmington, NC 28403-1737

Phone

(910) 613-8661

NPI assigned

Oct 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1396388153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 NEW CENTRE DR STE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031737",
            "telephone_number": "910-613-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 NEW CENTRE DR STE D",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031737",
            "telephone_number": "910-613-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Old Maple Hill Rd N",
            "address_purpose": "LOCATION",
            "city": "Maple Hill",
            "state": "NC",
            "postal_code": "284547870",
            "country_code": "US",
            "telephone_number": "910-750-6595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5710 Oleander Dr Ste 112",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034722",
            "country_code": "US",
            "telephone_number": "910-769-1785",
            "fax_number": "910-769-3965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "JENNIFER",
        "credential": "MA, LCMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15242",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Ashley Cook, M.D.
• Deana Clare Cook, DDS
• Dylan Patrick Cook, PA-C
• Gracie Cook
• Hobart Shay Cook, DC
• Joshua Alexander Cook, DPT
• Mariah Cook
• Nathan Paul Cook, DO
• Phyllis Byers Cook, DDS, MPH, PA
• Rachel Olivia Cook, MSW, LCSW

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.