Active NPI
Douglas M. Cooke, LPC, LMFT
- Mental Health Counselor
- Guntersville, AL
National Provider Identifier
1871644674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-922
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51510017COO | Other | AL | FEDERAL BCBS |
| 51520233COO | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 922 | AL | MD | Counselor |
| LPC-922 | AL | MD | Mental Health Counselor |
| LMFT-77 | AL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Alabama Counseling Center Inc | Counselor | Current | 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.
-
- Counselor
- Guntersville, AL
- NPI 1043380215
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.