Individual provider Active NPI

Traci Lynne Cooke, LPCC

  • Mental Health Counselor
  • Pickerington, OH
National Provider Identifier
1639603079
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E1600017 Issued in OH
Practice address
1241 Hill Rd N Ste E
Pickerington, OH 43147-9972
Phone
(614) 805-0930
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E1600017 OH Primary

Addresses

Primary practice location

1241 Hill Rd N Ste E
Pickerington, OH 43147-9972

Mailing address

1209 Hill Rd N # 152
Pickerington, OH 43147-7008
Phone (614) 805-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024001893 OH Practitioner - Mental Health Counselor 9931630977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1241 Hill Rd N
Suite E
Pickerington, OH 43147-9972
Phone (614) 805-0930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1600017OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Spirits Therapeutic Village LLC Mental Health CurrentSince Feb 4, 2024 Accepting new patients
TLC Counseling Services LLC Mental Health CurrentSince Jul 1, 2024 Accepting new patients

Locations

1241 Hill Rd N
Ste E
Pickerington, OH 43147
Phone (614) 805-0930

1209 Hill Rd N
Pickerington, OH 43147
Phone (614) 344-8488

911 Robinwood Ave
Ste D
Whitehall, OH 43213
Phone (614) 805-0930

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1639603079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 HILL RD N # 152",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431477008",
            "telephone_number": "614-805-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 HILL RD N STE E",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479972",
            "telephone_number": "614-805-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "TRACI",
        "middle_name": "LYNNE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E1600017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

Verify at the official NPI Registry.