Individual provider Active NPI

Amy Lynne Cook, LMHC

  • Mental Health Counselor
  • East Boston, MA
National Provider Identifier
1467503474
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5519 Issued in MA
Practice address
14 Porter St
East Boston, MA 02128-2116
Phone
(617) 912-7500
Fax
(617) 569-7890
NPI assigned
Jan 16, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5519 MA Primary

Addresses

Primary practice location

14 Porter St
East Boston, MA 02128-2116

Mailing address

35 Channel Ctr St
Unit 307
Boston, MA 02210-3413
Phone (617) 261-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20260319000398 MA Practitioner - Mental Health Counselor 7416431341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 High St
Suite 1
Waltham, MA 02453-0574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5519MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services, LLC Mental Health CurrentSince Mar 11, 2026 Accepting new patients
North Suffolk Mental Health Association Past Accepting new patients
North Suffolk Community Services Inc. PastSince Oct 20, 1997 Accepting new patients

Locations

20 High St
Ste 1
Waltham, MA 02453
Phone (781) 208-0390

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467503474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CHANNEL CTR ST",
            "address_2": "UNIT 307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022103413",
            "telephone_number": "617-261-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PORTER ST",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282116",
            "telephone_number": "617-912-7500",
            "fax_number": "617-569-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "AMY",
        "middle_name": "LYNNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Boston, MA

Sources for this page

Verify at the official NPI Registry.