Tina Marie Cooke, LPC, LCADC, LCMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

15690 Issued in NC

Practice address

1606 Harbour Dr
Wilmington, NC 28401-7716

Phone

(910) 399-1695

Fax

(910) 207-5335

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Tina M Cooke Professional name

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMC Professional Counseling ServiceGroup PAC ID 2961865936, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• TMC Professional Counseling Service

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1821706946
  Medicare reassignment Care Compare group NPD Authorized official
• Sea Glass Counseling Collaborative LLC

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1982435475
  NPD Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771718400000",
    "number": "1437201399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BONITO LN",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284285765",
            "telephone_number": "973-919-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 HARBOUR DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017716",
            "telephone_number": "910-399-1695",
            "fax_number": "910-207-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "LPC, LCADC, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-02-22",
        "certification_date": "2026-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00016200",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00148000",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00016200",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "15690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "COOKE",
            "middle_name": "M",
            "credential": "LPC, LCADC, LCMHC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joshua Alexander Cook, DPT
• Mariah Cook
• Nathan Paul Cook, DO
• Phyllis Byers Cook, DDS, MPH, PA
• Rachel Olivia Cook, MSW, LCSW
• Andrena Caroline Cooley, CSAC-I, NCCPSS
• William Purifoy Cooner, D.P.T.
• Brian Craig Cooper, LCCSWA
• Britainey Cooper, MA, ED.S, NCSP
• Dawson Michelle Cooper, MS

• Professional Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.