David Paul Cook, M.S, M.DIV.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166-000196 Issued in IL

Practice address

600 Dakota St
Suite B
Crystal Lake, IL 60012-3742

Phone

(815) 356-9683

Fax

(815) 356-8975

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• New Life Counseling Inc

  • Community/Behavioral Health Agency
  • Crystal Lake, IL
  • NPI 1841597739
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1831249820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DAKOTA ST",
            "address_2": "SUITE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123742",
            "telephone_number": "815-356-9683",
            "fax_number": "815-356-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAKOTA ST",
            "address_2": "SUITE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600123742",
            "telephone_number": "815-356-9683",
            "fax_number": "815-356-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "M.S, M.DIV.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166-000196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Conner, M.S.
• Staci Nicole Connery, P.T.
• Donette C Considine, PH.D., MSW, LCSW
• Michael George Conway, MSW, LSW, CADC
• Sara Ashley Conway
• Fallon Cooper
• Sarah Kathleen Cooper
• Angela Cord
• Evan R Corsolini, DPT
• Emily Anne Corson

• Marriage & Family Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.