Individual provider Active NPI

Semicheal Cook, MS, ALC

  • Mental Health Counselor
  • Daphne, AL
National Provider Identifier
1972233260
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C4090A Issued in AL
Practice address
28851 N Main St Ste B
Daphne, AL 36526-7273
Phone
(251) 615-1233
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C4090A AL Primary

Addresses

Primary practice location

28851 N Main St Ste B
Daphne, AL 36526-7273

Mailing address

3901 Michael Blvd Apt 2015
Mobile, AL 36609-1848
Phone (251) 615-1233

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
C4090AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Davine Counseling Center, LLC Mental Health CurrentSince Jun 12, 2022 Accepting new patients

Locations

28851 N Main St
Ste B
Daphne, AL 36526
Phone (251) 615-1233

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1972233260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MICHAEL BLVD APT 2015",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091848",
            "telephone_number": "251-615-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28851 N MAIN ST STE B",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365267273",
            "telephone_number": "251-615-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SEMICHEAL",
        "name_prefix": "Ms.",
        "credential": "MS, ALC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C4090A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.