Jimmy Joe Cook Jr., LADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LDC0000001405 Issued in TN

Practice address

132 S Water Ave
Gallatin, TN 37066-2903

Phone

(615) 461-8597

NPI assigned

Jan 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Recovery Court of Sumner County, Inc.

  • Substance Abuse Rehabilitation Facility
  • Gallatin, TN
  • NPI 1306476023
  NPD Authorized official

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1457940488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S WATER AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662903",
            "telephone_number": "615-461-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S WATER AVE",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662903",
            "telephone_number": "615-461-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JIMMY",
        "middle_name": "JOE",
        "name_suffix": "Jr.",
        "credential": "LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LDC0000001405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Noelle Colon, MSN, APRN, FNP-BC
• Comprehensive Health & Wellness Center
• Robert Joseph Compretta Jr., CRT
• Elizabeth Anne Connell, DNP, APRN, FNP-C
• Brandon Cook, MD
• Robert Dan Cook Sr.
• Sarah Beth Cooper
• Jamison Cornett, APRN, FNP-BC
• Christy Costanza, NP
• Brooke N Counce, FNP-C

• Addiction (Substance Use Disorder) Counselor in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.