Active NPI
Regan Cooke, LPC, NCC
- Mental Health Counselor
- Albany, OR
National Provider Identifier
1487024816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4359
- Practice address
- 340 1St Ave SE
Albany, OR 97321-2738 - Phone
- (541) 275-3519
- Fax
- (541) 325-4818
- NPI assigned
- Sep 28, 2015
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4359 | OR | Primary |
Addresses
Primary practice location
340 1St Ave SE
Albany, OR 97321-2738
Mailing address
2130 NW 13TH St
Corvallis, OR 97330-1428
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Albany | Direct |
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
Interoperability endpoints
- roderick.john.p2@direct.lanecounty.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1487024816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 NW 13TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 1ST AVE SE",
"city": "ALBANY",
"state": "OR",
"postal_code": "973212738",
"telephone_number": "541-275-3519",
"fax_number": "541-325-4818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "REGAN",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "4359",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Albany",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "340 1st Ave SE",
"city": "Albany",
"state": "OR",
"country_code": "US",
"postal_code": "973212738",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.