Erica Nichole Cook, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0038383 Issued in OH

Practice address

4 Eagle Dr Ste a
Minster, OH 45865-9714

Phone

(419) 628-6156

Fax

(937) 853-8032

NPI assigned

Jan 3, 2025

Last updated

Jul 7, 2025By the provider in NPPES

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Personal Wellness, LLCGroup PAC ID 6507202256, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Personal Wellness, LLC

  • Professional Counselor
  • Minster, OH
  • NPI 1437490877

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rivers Edge Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Troy, OH
  • NPI 1174385132

  Single Specialty

  Medicare reassignment NPD
• JTDM Family Practice LLC

  • Family Medicine Physician
  • Saint Marys, OH
  • NPI 1184652539

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1619786738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EAGLE DR STE A",
            "city": "MINSTER",
            "state": "OH",
            "postal_code": "458659714",
            "telephone_number": "419-628-6156",
            "fax_number": "937-853-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EAGLE DR STE A",
            "city": "MINSTER",
            "state": "OH",
            "postal_code": "458659714",
            "telephone_number": "419-628-6156",
            "fax_number": "937-853-8032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Larrel Ln",
            "address_purpose": "LOCATION",
            "city": "West Milton",
            "state": "OH",
            "postal_code": "453831103",
            "country_code": "US",
            "telephone_number": "937-657-4990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S Stanfield Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453733689",
            "country_code": "US",
            "telephone_number": "937-787-6859",
            "fax_number": "937-500-5401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "ERICA",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0038383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Buening
• Carecore at Minster
• Carecore at Minster
• Center for Personal Wellness, LLC
• Larita M Condon, SLP
• Cornerstone Rehabilitation LTD
• Amanda Dahlinghaus
• Andrea Kaye Dietz, O.D.
• Amanda Eilerman, O.D., M.S.
• Marvin Eilerman

• Psychiatric/Mental Health Nurse Practitioner in Minster, OH
• Providers in Minster, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.