Kaye Cook
Individual provider Active NPI Counselor · Ipswich, MA
NPI 1477044022 · NPPES record last updated May 18, 2018
Key facts
- NPI
- 1477044022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 3815 (MA)
- Practice address
- 2 Farragut Rd
Ipswich, MA 01938-1818 - Phone
- (978) 821-8456
- NPI assigned
- May 18, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3815 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | 3815 | MA | Yes |
Addresses
Primary practice location
2 Farragut Rd
Ipswich, MA 01938-1818
Mailing address
12 Oakhurst Ave
Ipswich, MA 01938-1637
Phone (978) 821-8456
Other providers in Ipswich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.