Individual provider Active NPI

Alyssa Marian Cook, MS

  • Mental Health Counselor
  • Nampa, ID
National Provider Identifier
1780455097
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-10124 Issued in ID
Practice address
1014 W Hemingway Blvd
Nampa, ID 83651-1733
Phone
(208) 991-4262
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-10124 ID Primary

Addresses

Primary practice location

1014 W Hemingway Blvd
Nampa, ID 83651-1733

Mailing address

10135 Irongate Dr
Nampa, ID 83687-7920
Phone (208) 509-3773

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-10124IDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alyssa Cook Counseling, LLC Mental Health CurrentSince Jul 21, 2024 Accepting new patients

Locations

1014 W Hemingway Blvd
Nampa, ID 83651
Phone (208) 246-9475

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1780455097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 IRONGATE DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836877920",
            "telephone_number": "208-509-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 W HEMINGWAY BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511733",
            "telephone_number": "208-991-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ALYSSA",
        "middle_name": "MARIAN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LPC-10124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.