Active NPI
Casey Cool, MA, LMFT
- Mental Health Counselor
- Prior Lake, MN
National Provider Identifier
1396935904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1752
- Practice address
- 3614 Willow Beach TRL SW
Prior Lake, MN 55372-2359 - Phone
- (719) 651-9515
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1752 | MN | Primary |
Addresses
Primary practice location
3614 Willow Beach TRL SW
Prior Lake, MN 55372-2359
Mailing address
3614 Willow Beach TRL SW
Prior Lake, MN 55372-2359
Phone (719) 651-9515
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1752 | MN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1396935904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3614 WILLOW BEACH TRL SW",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553722359",
"telephone_number": "719-651-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3614 WILLOW BEACH TRL SW",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553722359",
"telephone_number": "719-651-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOL",
"first_name": "CASEY",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "1752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prior Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.