Individual provider Active NPI

Nancy Cook, LPC, CRC, LAC

  • Professional Counselor
  • North Charleston, SC
National Provider Identifier
1962943886
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4578 Issued in SC
Practice address
4600 Goer Dr Ste 201
North Charleston, SC 29406-6500
Phone
(843) 760-2635
NPI assigned
Mar 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 225C00000X SC
Professional Counselor 101YP2500X 4578 SC Primary

Addresses

Primary practice location

4600 Goer Dr Ste 201
North Charleston, SC 29406-6500

Mailing address

5877 Ryans Bluff Rd
Charleston, SC 29418-5210
Phone (843) 760-2635

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4578SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Rehabilitation Consultants, LLC Rehabilitation Counselor PastSince Aug 18, 2019 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1962943886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 RYANS BLUFF RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294185210",
            "telephone_number": "843-760-2635",
            "fax_number": "843-760-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 GOER DR STE 201",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066500",
            "telephone_number": "843-760-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "NANCY",
        "credential": "LPC, CRC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Counselor",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "4578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.