Individual provider Active NPI

Sara Rachel Cook, APC, MS

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1902614118
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC009981 Issued in GA
Practice address
1244 Clairmont Rd Ste 102
Decatur, GA 30030-1250
Phone
(770) 750-4001
NPI assigned
Dec 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APC009981 GA Primary

Addresses

Primary practice location

1244 Clairmont Rd Ste 102
Decatur, GA 30030-1250

Mailing address

1110 Ballpark LN Apt 1207
Lawrenceville, GA 30043-2183
Phone (706) 764-6998

Other practice location 1

5960 Crooked Creek Rd Ste 140J
Peachtree Corners, GA 30092-6247
Phone (770) 750-4001

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APC009981GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kula Wellness Inc Mental Health CurrentSince Dec 22, 2024 Accepting new patients

Locations

1244 Clairmont Rd
Ste 102
Decatur, GA 30030
Phone (678) 235-8968

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": "1734566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1902614118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BALLPARK LN APT 1207",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432183",
            "telephone_number": "706-764-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 CLAIRMONT RD STE 102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301250",
            "telephone_number": "770-750-4001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5960 Crooked Creek Rd Ste 140J",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300926247",
            "country_code": "US",
            "telephone_number": "770-750-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SARA",
        "middle_name": "RACHEL",
        "credential": "APC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC009981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.