Organization Active NPI

Laurel Psychological Services LLC

  • Clinical Psychologist
  • Elizabethton, TN
National Provider Identifier
1609766997
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
LAUREL PSYCHOLOGICAL SERVICES LLC
Practice address
444 E Elk Ave
Elizabethton, TN 37643-3303
Phone
(423) 212-3011
NPI assigned
Jul 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Dr. Courtney Cook, PHDNPI 1255805859
Title
Licensed Psychologist
Phone
(423) 212-3011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

444 E Elk Ave
Elizabethton, TN 37643-3303

Mailing address

116 Agnes Rd Ste 200
Knoxville, TN 37919-6306

National Provider Directory

National Provider Directory

Locations

444 E Elk Ave
Elizabethton, TN 37643
Phone (423) 212-3011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1609766997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 AGNES RD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 E ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376433303",
            "telephone_number": "423-212-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-05",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "423-212-3011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.