Active NPI
Christine Love Cook, LPC
- Professional Counselor
- Wickenburg, AZ
National Provider Identifier
1932817442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-20886
- Practice address
- 173 W Santa Cruz St Ste A125
Wickenburg, AZ 85390-2246 - Phone
- (704) 458-8484
- NPI assigned
- Nov 14, 2022
- Last updated
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-20886 | AZ | Primary |
Addresses
Primary practice location
173 W Santa Cruz St Ste A125
Wickenburg, AZ 85390-2246
Mailing address
173 W Santa Cruz St Ste A125
Wickenburg, AZ 85390-2246
Phone (704) 458-8484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
150 Riverside Pkwy
Fredericksburg, VA 22406-1094
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-20886 | AZ | MD | Professional Counselor |
| 101219 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Current | Accepting new patients |
Locations
150 Riverside Pkwy
Ste 115
Fredericksburg, VA 22406
Phone (540) 530-5546
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1932817442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 W SANTA CRUZ ST STE A125",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853902246",
"telephone_number": "704-458-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 W SANTA CRUZ ST STE A125",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853902246",
"telephone_number": "704-458-8484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "CHRISTINE",
"middle_name": "LOVE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-20886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wickenburg, AZ
- Community Hospital Association, Inc. (Community Hospital Clinic - Wickenburg)
- Community Hospital Association, Inc. (Wickenburg Community Hospital Pharmacy)
- Community Hospital Association, Inc. (Wickenburg Community Hospital)
- Community Hospital Association, Inc. (Community Hospital Clinic - Surgeons)
- Community Hospital Association, Inc., Dba Wickenburg Community Hospita
- Christopher Cook
- Edward J Cumella, PHD
- Roy J Cutter, LPC
- Claudia L Danker, LPC
- Sandra L Derau, M.A.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.