MR. CHARLES JACK COOK JR. (NPI# 1023203379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023203379 |
Entity Type | Individual |
Full Name | MR. CHARLES JACK COOK JR. |
Credential | MBA |
Practice Address |
15095 Amargosa Rd Suite 101 Victorville CA 92394-1879 |
Practice Telephone | 7602454695 |
Practice Fax Number | 7602455896 |
Mailing Telephone | 7607804016 |
Mailing Fax Number | 7607804005 |
Enumeration Date | 2007-09-10 |
Last Update Date | 2010-12-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427304021 | Charles Edward Cook | Dentist | 5230 Griggs Rd # Rs, Houston, TX 77021-3760 | 2012-08-01 |
1154364008 | Charles Robert Cook | Family Medicine | 1701 Forest Ridge Dr, Bedford, TX 76022-7959 | 2006-06-14 |
1134189202 | Charles R Cook | Chiropractor | 108 Creek Ln S, Jordan, MN 55352-1202 | 2006-03-24 |
1275508574 | Charles Milton Cook | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-02-21 |
1861465601 | Charles W Cook Jr. | Obstetrics & Gynecology | 400 Hospital Dr, Ste 210, Corsicana, TX 75110-2489 | 2006-02-10 |
1407288459 | Charles Cook | Nurse Practitioner | 1903 Addison Ave, Wilkesboro, NC 28697-2262 | 2013-08-01 |
1508120775 | Charles Cook | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2012-07-02 |
1770635898 | Charles T. Cook | Marriage & Family Therapist | 6711 Arlington Ave, Suite B, Riverside, CA 92504-1955 | 2007-01-17 |
1417967928 | Charles Everett Cook | Orthopaedic Surgery | 8440 Walnut Hill Ln, #110, Dallas, TX 75231-3833 | 2006-08-08 |
1588616148 | Charles H. Cook | Surgery | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-05-16 |
Street Address |
15095 AMARGOSA RD SUITE 101 |
City | VICTORVILLE |
State | CA |
Zip Code | 92394-1879 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457332884 | Mojave Valley Physical Therapy | Physical Therapist | 15095 Amargosa Rd, Suite 104, Victorville, CA 92394-1879 | 2005-11-11 |
1013518547 | Syville Talbird | Community Health Worker | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2020-11-02 |
1780282400 | Haynnette Griselda Jimenez | Community Health Worker | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2020-10-14 |
1053919944 | Carmela Santos | Case Manager/Care Coordinator | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2020-10-13 |
1891393799 | Omoyinka Orekoya | Community Health Worker | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2020-10-13 |
1891312377 | Lilliana G Melgar | Community Health Worker | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2020-06-30 |
1205472438 | Elizabeth Difox | Case Manager/Care Coordinator | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2019-11-22 |
1639728694 | Maria L Perez | Case Manager/Care Coordinator | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2019-09-11 |
1760946560 | Myesha Niyoka Alexander | Case Manager/Care Coordinator | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2019-01-25 |
1265922835 | Katherine Nicole Schilling | Marriage & Family Therapist | 15095 Amargosa Rd, Victorville, CA 92394-1879 | 2018-05-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164045803 | Desert Horizon Residential Care | Assisted Living Facility | 15952 Condor Rd, Victorville, CA 92394 | 2020-05-28 |
1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
1811543473 | Silvano Gonzalez | Transportation Broker | 13767 Hidden Mesa Ct, Victorville, CA 92394 | 2019-08-09 |
1215442793 | Yun Jung Choi | Pharmacist | 15318 Roy Rogers Dr., Victorville, CA 92394 | 2017-12-06 |
1770942914 | Monica Castro | Marriage & Family Therapist | 15095 Armargosa Rd, 208, Victorville, CA 92394 | 2016-02-16 |
1902289226 | Daesoon Leem | Family Medicine | 15095 Amargosa Rd, Bldg.1, #102, Victorville, CA 92394 | 2015-07-06 |
1093068322 | City Taxi | Taxi | 14871 Totem Pole St, Victorville, CA 92394 | 2012-10-24 |
1467701318 | Margarita Renee Ortega | Counselor | 16224 Tawney Ridge Lane, Victorville, CA 92394 | 2012-09-06 |
1326328584 | Pro Line Transportation LLC | Non-emergency Medical Transport (VAN) | 10604 Karen Dr, Victorville, CA 92394 | 2011-08-19 |
1164604906 | Maxim Healthcare Services, Inc. | Home Health | 15095 Amargosa Road, Suite 102, Victorville, CA 92394 | 2007-12-04 |
Find all providers in zip 92394 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467000943 | Tawanna Lasha Young | Counselor | 15095 Armargosa, Ste 208, Victorville, CA 92394 | 2019-08-28 |
1265949564 | Hd Christian Family Counseling, LLC | Counselor | 14420 Civic Dr Ste 4, Victorville, CA 92392-2384 | 2018-01-08 |
1306372586 | Sandy Grisel Mendoza | Counselor | 14499 Begonia Rd Apt 69, Victorville, CA 92392-5916 | 2017-05-07 |
1124560644 | Audrey Saber | Counselor | 13211 Eclipse Ave, Victorville, CA 92392-5034 | 2016-11-15 |
1912457177 | Evonne Torres Tirado | Counselor | 14360 St Andrews Dr Ste 11, Victorville, CA 92395-4341 | 2016-10-11 |
1912386293 | Sara Dickson | Counselor | 12188 Hesperia Rd Ste 100, Victorville, CA 92395-5822 | 2015-05-20 |
1114356797 | Sydney Shanel Stewart | Counselor | 9942 Svl Box, Victorville, CA 92395-5144 | 2013-11-05 |
1043476526 | Jessica Marie Ferreira | Counselor | 15095 Amargosa Rd., Suite # 201, Victorville, CA 92395-4341 | 2008-08-04 |
1669675237 | Anthony Michael Mcadams | Counselor | 13333 Palmdale Rd., Victorville, CA 92393 | 2007-06-08 |
1316005689 | Manuel Duran Morales | Counselor | 14360 Saint Andrews Dr Ste 11, Victorville, CA 92395-4341 | 2006-12-05 |
Find all providers in VICTORVILLE |
City | VICTORVILLE |
Zip Code | 92394 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.