Individual provider Active NPI

Dawn Richard Cook, LCMHC

  • Mental Health Counselor
  • Castle Hayne, NC
National Provider Identifier
1841475142
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6686 Issued in NC
Practice address
5000 Transformation Lane
Castle Hayne, NC 28429
Phone
(910) 338-9570
NPI assigned
Jan 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6686 NC
Mental Health Counselor 101YM0800X 6686 NC Primary

Addresses

Primary practice location

5000 Transformation Lane
Castle Hayne, NC 28429

Mailing address

6123 Willow Glen Dr
Wilmington, NC 28412-3661
Phone (910) 382-2514

Other practice location 1

1907 S 17th St Ste 1
Wilmington, NC 28401-6680
Phone (910) 343-8424

Other identifiers 1

IdentifierTypeStateIssuer
6103851MedicaidNC

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

LicenseStateTypeSpecialty
6686NCMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1841475142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 WILLOW GLEN DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123661",
            "telephone_number": "910-382-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 TRANSFORMATION LANE",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "28429",
            "telephone_number": "910-338-9570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1907 S 17th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016680",
            "country_code": "US",
            "telephone_number": "910-343-8424",
            "fax_number": "910-343-6989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "DAWN",
        "middle_name": "RICHARD",
        "name_prefix": "Mrs.",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6686",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103851",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Hayne, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.