Individual provider Active NPI

Madison Cooke

  • Mental Health Counselor
  • Raeford, NC
National Provider Identifier
1578133179
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7489 Rockfish Rd
Raeford, NC 28376-6131
Phone
(910) 584-6739
NPI assigned
Jun 28, 2021
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NC Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

7489 Rockfish Rd
Raeford, NC 28376-6131

Mailing address

7489 Rockfish Rd
Raeford, NC 28376-6131
Phone (910) 584-6739

Other practice location 1

308 Greenville Blvd SE Ste B1
Greenville, NC 27858-5758
Phone (252) 341-4192

Other practice location 2

2931 Breezewood Ave Ste 104
Fayetteville, NC 28303-5281
Phone (910) 491-1134

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hearts Therapeutic Services, PLLC CurrentSince Apr 21, 2024 Accepting new patients
Robert C. Pennebaker PLLC PastSince Sep 27, 2020 Accepting new patients
Priorities ABA, PLLC Behavior Technician PastSince Jul 1, 2021 Accepting new patients

Locations

7489 Rockfish Rd
Raeford, NC 28376
Phone (910) 584-6739

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1578133179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7489 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766131",
            "telephone_number": "910-584-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766131",
            "telephone_number": "910-584-6739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Greenville Blvd SE Ste B1",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278585758",
            "country_code": "US",
            "telephone_number": "252-341-4192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2931 Breezewood Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283035281",
            "country_code": "US",
            "telephone_number": "910-491-1134",
            "fax_number": "910-491-1332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.