Kristina Cook, M.S.; LPCC; NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC12719 Issued in CA

Practice address

1460 Maria LN Ste 300
Walnut Creek, CA 94596-5314

Phone

(530) 966-8144

NPI assigned

Oct 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Second Wind Professional Clinical Counselor Inc

  • Professional Counselor
  • Vacaville, CA
  • NPI 1336989813

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1669013165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5722",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956965722",
            "telephone_number": "530-966-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MARIA LN STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965314",
            "telephone_number": "530-966-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Mason St Ste 214",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "956884597",
            "country_code": "US",
            "telephone_number": "530-966-8144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KRISTINA",
        "credential": "M.S.; LPCC; NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "LPCC12719",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC12719",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC12719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Cook
• Ian Cameron Cook, PH D
• Juliane Kathryn Cook, PHD
• Karen Cook, LMFT
• Keith J Cook, PT
• Laura Cook, PT, CSCS
• Sarah Cook, OT
• Lauren Alyssa Cooke, M.D.
• Robert A. Cooke, DPM
• Marina Coop

• Professional Counselor in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.