Emily H Cook, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88000968A Issued in IN

Practice address

2130 Pemberton Dr
Fort Wayne, IN 46805-4628

Phone

(260) 602-8723

NPI assigned

Apr 28, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588032000000",
    "number": "1548881899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 BEACON ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053814",
            "telephone_number": "260-602-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 PEMBERTON DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468054628",
            "telephone_number": "260-602-8723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Merchandise Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468255140",
            "country_code": "US",
            "telephone_number": "260-602-8723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "EMILY",
        "middle_name": "H",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000968A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cook Behavioral Health Clinic, PC
• Cook Road Aal LP
• Andrew Cook-Johnson
• Cortney Shean Cook
• Dina L Cook, LCSW
• Ian H. Cook, M.D.
• Jason T. Cook, PSY.D., HSPP
• Jennifer Lynn Cook
• Katie Cook
• Kevin R Cook, RPH

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.