Active NPI
Aaron Elijah Kook, LMHC
- Mental Health Counselor
- Brookline, MA
National Provider Identifier
1780089318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10340
- Practice address
- 1415 Beacon St
Brookline, MA 02446-4816 - Phone
- (424) 242-3733
- NPI assigned
- Oct 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10340 | MA | Primary |
Addresses
Primary practice location
1415 Beacon St
Brookline, MA 02446-4816
Mailing address
133 Clark St
Waltham, MA 02453-6576
Phone (610) 453-2182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10340 | MA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1780089318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 CLARK ST",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024536576",
"telephone_number": "610-453-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 BEACON ST",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024464816",
"telephone_number": "424-242-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOK",
"first_name": "AARON",
"middle_name": "ELIJAH",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "10340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.