Active NPI
Jeanie Marguerite Cooke, LADC
- Addiction (Substance Use Disorder) Counselor
- Monticello, MN
National Provider Identifier
1982853347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 300907
- Practice address
- 407 Washington St
Monticello, MN 55362-8815 - Phone
- (763) 295-4001
- Fax
- (763) 295-5086
- NPI assigned
- Sep 10, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 300907 | MN | Primary |
Addresses
Primary practice location
407 Washington St
Monticello, MN 55362-8815
Mailing address
1321 13TH St N
Saint Cloud, MN 56303-2613
Phone (320) 252-5010
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
| License | State | Type | Specialty |
|---|---|---|---|
| 300907 | MN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1982853347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 13TH ST N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563032613",
"telephone_number": "320-252-5010",
"fax_number": "320-203-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 WASHINGTON ST",
"city": "MONTICELLO",
"state": "MN",
"postal_code": "553628815",
"telephone_number": "763-295-4001",
"fax_number": "763-295-5086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "JEANIE",
"middle_name": "MARGUERITE",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MN",
"license": "300907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.