Jean M Cook, L.P.C.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E2119 Issued in OH

Practice address

975 Commerce Dr
Perrysburg, OH 43551-5228

Phone

(419) 874-8257

Fax

(419) 873-7584

NPI assigned

Sep 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fort Meigs Wellness & Behavioral Health LLC

  • Mental Health Counselor
  • Perrysburg, OH
  • NPI 1679323547
  Medicare reassignment NPD
• Fort Meigs Psychological Service

  • Psychologist
  • Perrysburg, OH
  • NPI 1649337817
  NPD

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1891781431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515228",
            "telephone_number": "419-874-8257",
            "fax_number": "419-873-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515228",
            "telephone_number": "419-874-8257",
            "fax_number": "419-873-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JEAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "L.P.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian James Collins
• Colt Enterprises, Inc (Right At Home)
• Colt Enterprises, Inc (Right At Home)
• Complete Care Diversified, LLC
• Complete Care Physical Therapy, LLC
• Shauna Cooley
• Christopher J Cooper, M.D.
• Mark W Cooper, DO
• Timothy E. Coppock, PCC
• Stephanie Corazzol, NP

• Professional Counselor in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.