Individual provider Active NPI

Carrie Cook

  • Marriage & Family Therapist
  • Davie, FL
National Provider Identifier
1912610551
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT5097 Issued in FL
Practice address
8958 W State Road 84 Ste 238
Davie, FL 33324-4457
Phone
(754) 444-1386
NPI assigned
Dec 28, 2022
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT5097 FL Primary

Addresses

Primary practice location

8958 W State Road 84 Ste 238
Davie, FL 33324-4457

Mailing address

8958 W State Road 84 Ste 238
Davie, FL 33324-4457
Phone (754) 444-1386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT5097FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CC Counseling LLC Marriage & Family Therapist Current Accepting new patients
Privia Medical Group Florida, LLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

10129 Clear Vista St
Orlando, FL 32832
Phone (407) 601-1370

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

Organizations & group practices 2

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1912610551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8958 W STATE ROAD 84 STE 238",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244457",
            "telephone_number": "754-444-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8958 W STATE ROAD 84 STE 238",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244457",
            "telephone_number": "754-444-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CARRIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT5097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.