Individual provider Active NPI

Robert Elliot Cook, LPC-CR

  • Professional Counselor
  • Fairview Park, OH
National Provider Identifier
1891180899
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.1300278-CR Issued in OH
Practice address
20800 Westgate Mall Ste 200
Fairview Park, OH 44126-1318
Phone
(440) 333-4949
Fax
(440) 333-5044
NPI assigned
Apr 6, 2015
Last updated
Apr 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1300278-CR OH Primary

Addresses

Primary practice location

20800 Westgate Mall Ste 200
Fairview Park, OH 44126-1318

Mailing address

20800 Westgate Mall Ste 200
Fairview Park, OH 44126-1318
Phone (440) 333-4949

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
C.1300278-CROHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Effective Living PastSince Oct 31, 2015 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428278400000",
    "number": "1891180899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE MALL STE 200",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261318",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20800 WESTGATE MALL STE 200",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441261318",
            "telephone_number": "440-333-4949",
            "fax_number": "440-333-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ROBERT",
        "middle_name": "ELLIOT",
        "credential": "LPC-CR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1300278-CR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.