George W. Cook Professional Corporation

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GEORGE W. COOK PROFESSIONAL CORPORATION

Practice address

1002 Mayfair Rd
Champaign, IL 61821-4435

Phone

(217) 689-1678

NPI assigned

Jun 21, 2019

Organization subpart

No

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

Authorized official

Name

George Cook, LCSW, LCPC

Title

Owner/Lead Therapist

Phone

(217) 689-1678

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1659932663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 MAYFAIR RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214435",
            "telephone_number": "217-689-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 MAYFAIR RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214435",
            "telephone_number": "217-689-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE W. COOK PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/LEAD THERAPIST",
        "authorized_official_telephone_number": "217-689-1678",
        "authorized_official_credential": "LCSW, LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.