Kristen Michelle Cooke

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149016484 Issued in IL

Practice address

1938 E Lincoln Hwy Unit 219
New Lenox, IL 60451-3860

Phone

(815) 320-3749

NPI assigned

Jul 1, 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Kennedy Center for Counseling, P.C.

  • Mental Health Counselor
  • New Lenox, IL
  • NPI 1538569058
  NPD (past)
• Wheaton Wellness Center, Inc.

  • Counselor
  • Wheaton, IL
  • NPI 1255807244
  NPD (past)

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1598382913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 TALON DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513852",
            "telephone_number": "630-200-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY UNIT 219",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513860",
            "telephone_number": "815-320-3749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Connell, ATC
• Amanda Connelly, CNM
• Nicholas Luke Contestabile, DC
• Anastasia Contreras
• Pamela R Cook, PSYD
• Ross D Coolidge, DO
• Allison Paige Coulson, CF-SLP
• Joan M Covault, DO
• Alexandra Leah Cranmer
• Crossroads Medical Supply,Inc.

• Clinical Social Worker in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.