Active NPI
Michelle Cook, LPC-S,RPT-S
- Counselor
- New Braunfels, TX
National Provider Identifier
1457594426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 17072
- Practice address
- 308 E San Antonio St
New Braunfels, TX 78130-4538 - Phone
- (830) 660-8515
- Fax
- (830) 214-0988
- NPI assigned
- Apr 7, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 17072 | TX | Primary |
Addresses
Primary practice location
308 E San Antonio St
New Braunfels, TX 78130-4538
Mailing address
32 Laurel TRL
New Braunfels, TX 78130-6608
Phone (830) 214-0988
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1486565-01 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17072 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297987200000",
"number": "1457594426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 LAUREL TRL",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781306608",
"telephone_number": "830-214-0988",
"fax_number": "830-214-0988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E SAN ANTONIO ST",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781304538",
"telephone_number": "830-660-8515",
"fax_number": "830-214-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MICHELLE",
"credential": "LPC-S,RPT-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-07",
"last_updated": "2011-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "17072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1486565-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.