Tereia Sidden Cook, LPC, LCAS, CCS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS #470 Issued in NC

Practice address

107 W Independence Blvd
Suite 200
Mount Airy, NC 27030-3589

Phone

(336) 786-5855

NPI assigned

Oct 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Ac Group Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Mount Airy, NC
  • NPI 1245381169
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1720161136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W INDEPENDENCE BLVD",
            "address_2": "SUITE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303589",
            "telephone_number": "336-786-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W INDEPENDENCE BLVD",
            "address_2": "SUITE 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303589",
            "telephone_number": "336-786-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TEREIA",
        "middle_name": "SIDDEN",
        "name_prefix": "Ms.",
        "credential": "LPC, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS #470",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPC #3746",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102326",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Combs, LMFT
• Elizabeth Combs, PA
• Michelle Williams Combs, PA-C
• Cindy Fowler Comer, PA-C
• Jenna Marie Comer, DC
• Jacob Tanner Cooke, MS, CCC-SLP
• Cooper Counseling Services PLLC
• Cooper Counseling, PLLC
• Jessica Creed Cooper, MA ED, LCMHC, NCC
• Robert Scott Corbin, M.D.

• Addiction (Substance Use Disorder) Counselor in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.