Active NPI
Avery Banks Cook
- Mental Health Counselor
- Baton Rouge, LA
National Provider Identifier
1568986743
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective May 18, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 15049 Florida Blvd
Baton Rouge, LA 70819-2602 - Phone
- (225) 775-0779
- NPI assigned
- Jul 31, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
15049 Florida Blvd
Baton Rouge, LA 70819-2602
Mailing address
660 New Rafe Meyer Rd
Baton Rouge, LA 70807-1134
Other practice location 1
15049 Florida Blvd
Baton Rouge, LA 70819-2602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41871432D | Other | LA | A HAND IN NEED |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1568986743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 NEW RAFE MEYER RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708071134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15049 FLORIDA BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708192602",
"telephone_number": "225-775-0779"
}
],
"practiceLocations": [
{
"address_1": "15049 Florida Blvd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708192602",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "AVERY",
"middle_name": "BANKS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "A HAND IN NEED",
"identifier": "41871432D",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.