Individual provider Active NPI

Emily Katherine Cook, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1639881485
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.1000609-NP Issued in CO
Practice address
6377 S Revere Pkwy Ste 300
Centennial, CO 80111-6488
Phone
(970) 310-3406
NPI assigned
Dec 22, 2022
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1101431 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.1000609-NP CO Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 960136 TX
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.1702001 CO

Addresses

Primary practice location

6377 S Revere Pkwy Ste 300
Centennial, CO 80111-6488

Mailing address

1300 S University Dr Ste 306
Fort Worth, TX 76107-5746
Phone (844) 824-8775

Other practice location 1

1425 Greenway Dr Ste 360
Irving, TX 75038-2447
Phone (844) 824-8775

Other practice location 2

1300 S University Dr Ste 306
Fort Worth, TX 76107-5746
Phone (844) 824-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20250529001246 CO Practitioner - Nurse Practitioner 7113390683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

6377 S Revere Pkwy
Suite 300
Centennial, CO 80111-6488
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1702001COMDPsychiatric/Mental Health Registered Nurse
960136TXMDPsychiatric/Mental Health Registered Nurse
APN.1000609-NPCOMDPsychiatric/Mental Health Nurse Practitioner
1101431TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health CurrentSince Jun 1, 2025 Accepting new patients
Heart Centered Counseling, PC Psychiatric/Mental Health Current Accepting new patients

Locations

6377 S Revere Pkwy
Ste 300
Centennial, CO 80111
Phone (720) 505-1434

215 W Oak St
Fl 4
Fort Collins, CO 80521
Phone (253) 346-1331

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.emilycook@136732.advancedmd-direct.com
  • Direct secure messaging: lifestancehealth.emilycook@146010.advancedmd-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1639881485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S UNIVERSITY DR STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075746",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6377 S REVERE PKWY STE 300",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801116488",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Greenway Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382447",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S University Dr Ste 306",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761075746",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1101431",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.1000609-NP",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "960136",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RN.1702001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.