Makenzie Jewel Cook, P-LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P-1293 Issued in MS

Practice address

1630 Goodman Rd E Ste 5
Southaven, MS 38671-9556

Phone

(901) 647-9167

NPI assigned

Jan 25, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1790597789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6584 LOVE RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386328831",
            "telephone_number": "901-870-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 GOODMAN RD E STE 5",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719556",
            "telephone_number": "901-647-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MAKENZIE",
        "middle_name": "JEWEL",
        "credential": "P-LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-25",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "P-1293",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "P-1293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura B Connerley, PT, DPT
• Kerin Trinette Connor, NP
• Conrad Pearson Clinic PC
• Consolidated Therapies, LLC
• Cecilia Elese Cook
• Michael G Cook, OD
• Sidney Cook, FNP
• Brittany Leann Cooper, PHARMD
• Jane Elizabeth Deweese Cooper, SLP
• Lana Cooper, FNP-C

• Professional Counselor in Southaven, MS
• Providers in Southaven, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.