Adrian Danita Cook, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH21780 Issued in FL

Practice address

625 Jenks Ave
Panama City, FL 32401-2629

Phone

(850) 215-5657

Fax

(850) 215-5658

NPI assigned

Oct 16, 2024

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Green Wave Family Wellness Center

  • Chiropractor
  • Panama City, FL
  • NPI 1568662864

  Mental Health

  NPD

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1992525646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012629",
            "telephone_number": "850-215-5657",
            "fax_number": "850-215-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012629",
            "telephone_number": "850-215-5657",
            "fax_number": "850-215-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ADRIAN",
        "middle_name": "DANITA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Compassionate Love Home Care Inc
• Comprehensive Pain Medicine, Panama City
• Susan Paramore Compton, M.D.
• Toshiya Connor
• Consult Care Pain Medicine P a.
• Erin Cook, RBT
• Michael Scott Cook, CRNA
• Sharon Cook
• Trevor Eugene Cook, ARNP
• Rachel Coombs, PHARM D

• Mental Health Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.