Active NPI
Susan Cook, LPC
- Professional Counselor
- Glen Allen, VA
National Provider Identifier
1487069050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005825
- Practice address
- 5352 Twin Hickory Rd
Glen Allen, VA 23059-5682 - Phone
- (804) 592-2793
- Fax
- (804) 592-2794
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005825 | VA | Primary |
Addresses
Primary practice location
5352 Twin Hickory Rd
Glen Allen, VA 23059-5682
Mailing address
5352 Twin Hickory Rd
Glen Allen, VA 23059-5682
Phone (804) 592-2793
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 |
|---|---|---|---|
| 0701005825 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1487069050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5352 TWIN HICKORY RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595682",
"telephone_number": "804-592-2793",
"fax_number": "804-592-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5352 TWIN HICKORY RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230595682",
"telephone_number": "804-592-2793",
"fax_number": "804-592-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "SUSAN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.