Jennifer Lynn Cook

Individual provider Active NPI Case Manager/Care Coordinator · Logansport, IN

NPI 1922399153 · NPPES record last updated Apr 21, 2011

Key facts

NPI
1922399153
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
408 North St
Logansport, IN 46947-2895
Phone
(574) 753-5540
Fax
(574) 753-8197
NPI assigned
Apr 21, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Four County Comprehensive Mental Health Center, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

408 North St
Logansport, IN 46947-2895

Mailing address

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

Other providers in Logansport, IN

All providers in Logansport, IN · Case Manager/Care Coordinator in Indiana

Sources for this page

Verify at the official NPI Registry.