MARTY T. COOKE (NPI# 1831246594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831246594 |
| Entity Type | Individual |
| Full Name | MARTY T. COOKE |
| Credential | LCPC |
| Practice Address |
500 S 11th Ave Suite 302 Pocatello ID 83201-4835 |
| Mailing Address |
Po Box 4986 Pocatello ID 83205-4986 |
| Practice Telephone | 2082330150 |
| Practice Fax Number | 2082330159 |
| Mailing Telephone | 2082330150 |
| Mailing Fax Number | 2082330159 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LCPC3448 | ID | Behavioral Health & Social Service Providers |
| Street Address |
500 S 11TH AVE SUITE 302 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443699 | Kelli Deanne Christensen | Family Medicine | 500 S 11th Ave, Suite 303, Pocatello, ID 83201 | 2005-08-09 |
| 1700365178 | Adam Gault | Nurse Practitioner | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2018-08-07 |
| 1366982126 | Debra Reiland | Registered Nurse | 500 S 11th Ave, Suite 501, Pocatello, ID 83201-4835 | 2017-02-27 |
| 1235678848 | Jenna Nicole Thompson | Social Worker | 500 S 11th Ave, Suite 303, Pocatello, ID 83201-4835 | 2017-02-15 |
| 1669753109 | Care LLC | Obstetrics & Gynecology | 500 S 11th Ave, Ste 201, Pocatello, ID 83201-4835 | 2011-08-29 |
| 1962790964 | Urology Center of Idaho Pllc | Urology | 500 S 11th Ave, Suite 301, Pocatello, ID 83201-4835 | 2011-07-12 |
| 1689977019 | Karl M Letko | Physician Assistant | 500 S 11th Ave, Suite 503, Pocatello, ID 83201-4835 | 2010-12-07 |
| 1982838694 | Michael Arik Mariska | Counselor | 500 S 11th Ave, Pocatello, ID 83201-4835 | 2009-05-08 |
| 1710111935 | Chelsie Ann Morrison | Family Medicine | 500 S 11th Ave, Suite 102, Pocatello, ID 83201-4835 | 2009-05-04 |
| 1023287828 | Pocatello Children's Clinic | Durable Medical Equipment & Medical Supplies | 500 S 11th Ave, Ste 204, Pocatello, ID 83201-4835 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595929 | Idaho State University | Counselor | 1400 E Terry Dr Bldg 63, Pocatello, ID 83209-0001 | 2020-10-12 |
| 1255971024 | Cognitive Restructuring, LLC. | Counselor | 707 N 7th Ave Ste D, Pocatello, ID 83201-5796 | 2020-01-09 |
| 1295378727 | Truenorth Counseling & Consulting, LLC | Counselor | 1440 E Terry St Garrison Hall Bldg 63, Room 725, Pocatello, ID 83209-8120 | 2019-10-28 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1124597109 | Cindy Lynn Woodman | Counselor | 1070 Hiline Rd # 201, Pocatello, ID 83201-2947 | 2018-11-19 |
| 1568823060 | Jeffery Porter | Counselor | 151 N 3rd Ave Ste 404, Pocatello, ID 83201-6331 | 2016-03-10 |
| 1972988517 | Ashley Vargas | Counselor | 1352 E Center St Ste A, Pocatello, ID 83201-4773 | 2015-07-24 |
| 1427437383 | Bannock County Family Treatment Center | Counselor | 141 N 6th Ave, Pocatello, ID 83201-6209 | 2015-05-26 |
| 1699165456 | Terry Jeanne Kerler | Counselor | 524 S 6th Ave, Pocatello, ID 83201-5811 | 2015-02-02 |
| 1760882740 | Tara Ashley | Counselor | 2023 Cassia St, Pocatello, ID 83201-2066 | 2014-08-27 |
| Find all providers in POCATELLO | ||||
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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.