Organization Active NPI

Cooke Counseling Group PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durham, NC
National Provider Identifier
1831605534
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
C010357 Issued in NC
Legal business name
COOKE COUNSELING GROUP PLLC
Practice address
1415 W NC Highway 54 Ste 213
Durham, NC 27707-5578
Phone
(919) 727-9517
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Ashley Cooke, LCSW
Title
Social Worker/Therapist
Phone
(919) 727-9517

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X C010357 NC Primary

Addresses

Primary practice location

1415 W NC Highway 54 Ste 213
Durham, NC 27707-5578

Mailing address

1415 W NC Highway 54 Ste 213
Durham, NC 27707-5578
Phone (919) 727-9517

National Provider Directory

National Provider Directory

Locations

820 Broad St
Durham, NC 27705
Phone (919) 794-3819

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1831605534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W NC HIGHWAY 54 STE 213",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075578",
            "telephone_number": "919-727-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W NC HIGHWAY 54 STE 213",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075578",
            "telephone_number": "919-727-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKE COUNSELING GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "919-727-9517",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "C010357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.