Active NPI
Catherine E Cook, LPC
- Professional Counselor
- Alexandria, VA
National Provider Identifier
1639422827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005109
- Practice address
- 720 N Saint Asaph St
Alexandria, VA 22314-1912 - Phone
- (703) 746-3444
- Fax
- (703) 746-3464
- NPI assigned
- Oct 25, 2012
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701005109 | VA | Primary |
Addresses
Primary practice location
720 N Saint Asaph St
Alexandria, VA 22314-1912
Mailing address
3737 Seminary Rd
Alexandria, VA 22304-5202
Phone (703) 746-3444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447279658 | Medicaid | VA |
Other names 1
- Catherine E Jacobs
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701005109 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1639422827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3737 SEMINARY RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223045202",
"telephone_number": "703-746-3444",
"fax_number": "703-746-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N SAINT ASAPH ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223141912",
"telephone_number": "703-746-3444",
"fax_number": "703-746-3464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "CATHERINE",
"middle_name": "E",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1447279658",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "JACOBS",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.