Individual provider Active NPI

Shawndrika Latrice Cook, LPC

  • Professional Counselor
  • Birmingham, AL
National Provider Identifier
1649737362
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3830 Issued in AL
Practice address
544 Gadsden Hwy Apt H171
Birmingham, AL 35235-2484
Phone
(205) 709-7617
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3830 AL Primary

Addresses

Primary practice location

544 Gadsden Hwy Apt H171
Birmingham, AL 35235-2484

Mailing address

544 Gadsden Hwy Apt H171
Birmingham, AL 35235-2484
Phone (205) 709-7617

Other practice location 1

4898 Valleydale Rd
Birmingham, AL 35242-4654
Phone (205) 795-3410

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Birmingham

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20240206001031 AL Practitioner - Mental Health Counselor 2860835956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3830ALMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1649737362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 GADSDEN HWY APT H171",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352484",
            "telephone_number": "205-709-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 GADSDEN HWY APT H171",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352484",
            "telephone_number": "205-709-7617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4898 Valleydale Rd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352424654",
            "country_code": "US",
            "telephone_number": "205-795-3410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SHAWNDRIKA",
        "middle_name": "LATRICE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Birmingham",
            "affiliation": "N",
            "address_1": "544 Gadsden Hwy Apt H171",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352352484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.