Ellise Kathryn Cook, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

I.2203625 Issued in OH

Practice address

1490 University Blvd
Hamilton, OH 45011-3305

Phone

(513) 896-7887

NPI assigned

Oct 5, 2017

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Butler Behavioral Health Services, Inc.Group PAC ID 9537061742, 14 clinicians

The Children's Home of Cincinnati Ohio, IncGroup PAC ID 8729581640, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ethoscareinc.ellisecook@151221.advancedmd-direct.com
• FHIR API: https://api.qualifacts.org/api/fhir/bbhs/r4/

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.

• Butler Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Hamilton, OH
  • NPI 1053377184
  Medicare reassignment Care Compare group NPD
• The Children's Home of Cincinnati Ohio, Inc

  dba Best Point Education & Behavioral Health

  • Adolescent and Children Mental Health Clinic/Center
  • Cincinnati, OH
  • NPI 1134278518
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  OH

  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1548770415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7384 TIMBERKNOLL DR",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427533",
            "telephone_number": "513-509-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 UNIVERSITY BLVD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113305",
            "telephone_number": "513-896-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ELLISE",
        "middle_name": "KATHRYN",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2203625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Conry
• Kay Constable, OTR/L
• Arianna Constantakes
• Nicole L Conyers
• Cara L Cook
• Kellie May Cooper
• Mari Cooper
• Samantha Elizabeth Cooper, NURSE AIDE
• Joseph Lee Copas, DMD
• Carmen Marie Cope, RN

• Social Worker in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.