Jonathan Cook, M.A.T., M.S.
Individual provider Active NPI Marriage & Family Therapist · Tuscaloosa, AL
NPI 1922467968 · NPPES record last updated Feb 18, 2016
Key facts
- NPI
- 1922467968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- A179 (AL)
- Practice address
- 420 28TH Ave
Suite 100
Tuscaloosa, AL 35401-1088 - Phone
- (205) 920-1945
- Fax
- (205) 752-0590
- NPI assigned
- Feb 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A179 | AL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Goertz LLC | Marriage & Family Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | A179 | AL | Yes |
Addresses
Primary practice location
420 28TH Ave
Suite 100
Tuscaloosa, AL 35401-1088
Mailing address
420 28TH Ave
Suite 100
Tuscaloosa, AL 35401-1088
Phone (205) 920-1945
Other providers in Tuscaloosa, AL
- Connecting the Dots
- Carol Yvonne Conner
- JF Donal Conway
- Candace Cook
- Haley Kathleen Cook
- Robert Ashley Cook Jr.
- Laura Cooks
- Jenna Renea Cooper
- Megan Cooper
- Steven Wesley Copeland
All providers in Tuscaloosa, AL · Marriage & Family Therapist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.