Individual provider Active NPI

Douglas M. Cooke, LPC, LMFT

  • Mental Health Counselor
  • Guntersville, AL
National Provider Identifier
1871644674
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-922 Issued in AL
Practice address
1612 Railroad Avenue
Guntersville, AL 35976
Phone
(256) 582-8880
Fax
(256) 582-8890
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 922 AL
Counselor 101Y00000X 77 AL
Counselor 101Y00000X LPC-922 AL
Professional Counselor 101YP2500X LPC-922 AL
Marriage & Family Therapist 106H00000X LMFT-77 AL
Mental Health Counselor 101YM0800X LPC-922 AL Primary

Addresses

Primary practice location

1612 Railroad Avenue
Guntersville, AL 35976

Mailing address

PO Box 1001
Guntersville, AL 35976
Phone (256) 582-8880

Other identifiers 2

IdentifierTypeStateIssuer
51510017COOOtherALFEDERAL BCBS
51520233COOOtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240326003166 AL Practitioner - Mental Health Counselor 3274535943 Reassigns benefits to 1 organization
I20240523000465 AL Practitioner - Marriage and Family Therapist 3274535943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Alabama Counseling Center IncGroup PAC ID 3375545049, 6 clinicians

Practice addresses (Care Compare)

1612 Railroad Ave
Guntersville, AL 35976-1854
Phone (256) 582-8880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
922ALMDCounselor
LPC-922ALMDMental Health Counselor
LMFT-77ALMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Alabama Counseling Center Inc Counselor CurrentSince Jan 1, 2004 Accepting new patients

Locations

1612 Railroad Ave
Guntersville, AL 35976
Phone (256) 582-8880

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1871644674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-582-8880",
            "fax_number": "256-582-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 RAILROAD AVENUE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-582-8880",
            "fax_number": "256-582-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "DOUGLAS",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LPC,  LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "922",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "77",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "LPC-922",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "LPC-922",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "LMFT-77",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "LPC-922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BCBS",
            "identifier": "51510017COO",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51520233COO",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.