Miles Joseph Cook, M.S.
Individual provider Active NPI Mental Health Counselor · Cameron Park, CA
NPI 1700699683 · NPPES record last updated Jan 27, 2025
Key facts
- NPI
- 1700699683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- AMFT152807 (CA)
- Practice address
- 970 Camerado Dr Ste 200
Cameron Park, CA 95682-7636 - Phone
- (530) 677-4404
- NPI assigned
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT152807 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Mental Health Counselor | 101YM0800X | AMFT152807 | CA | Yes |
Addresses
Primary practice location
970 Camerado Dr Ste 200
Cameron Park, CA 95682-7636
Mailing address
289 Waterfield Dr
Roseville, CA 95678-6101
Phone (916) 801-4564
Other names
- Mr. Miles Joseph Cook
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All providers in Cameron Park, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.