Cook Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCSW-29576 Issued in ID

Legal business name

COOK BEHAVIORAL HEALTH LLC

Practice address

123 McClure Avenue
Nampa, ID 83701

Phone

(208) 461-3720

NPI assigned

Dec 8, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Corie Sue Cook, LCSW, ACSW

Title

Clinical Administrator

Phone

(208) 461-3720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Duane Millican, MA, LPC

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1316480973
  NPD (past)

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1538603667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2775",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83701",
            "telephone_number": "208-461-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MCCLURE AVENUE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83701",
            "telephone_number": "208-461-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CORIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "208-461-3720",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LCSW-29576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Conn
• Jenifer Shanon Conn, APRN-CNP
• Damaris Ellen Conrad, PHD, LMFT
• Leslie Contos, PHD, LCPC, NCC,CCMHC
• Cook & Tafoya-Fisher Behavioral Health
• Alyssa Marian Cook, MS
• Chelsey Cook, LMSW
• Corie Sue Cook, LMSW
• Verl Dean Cook, PT
• Sara Cooke-Wall, LPC

• Community/Behavioral Health Agency in Nampa, ID
• Providers in Nampa, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.