Nicole Sharae Cook - Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

6701 W Wilshire Blvd
Oklahoma City, OK 73132-5492

Phone

(405) 535-8838

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Destiny Changers LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1992050348
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1962759696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5608 NW 112TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731623510",
            "telephone_number": "405-367-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W WILSHIRE BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731325492",
            "telephone_number": "405-535-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK - JOHNSON",
        "first_name": "NICOLE",
        "middle_name": "SHARAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Contreras
• Joleen M Contreras
• Convenient Medical
• Dustin George Converse
• Jimmy H Conway Jr., MD
• Ashlee Cook
• Ashley Marie Cook, RN
• Bethany J Cook, APRN-WHNP
• Cassie Joanne Cook, RD, LD
• Chloe Cook

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.