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Marshelldra Nacole Cook

Peer Specialist β€’ Durant, OK

Active NPI 1083096978 Individual Practitioner Female Practitioner
Practice location in NPPES

2425 W University Blvd Ste 102
Durant, OK 747012970

Call 8092473305 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2425 W University Blvd Ste 102

Durant, OK 747012970

Telephone 8092473305
Fax 5809247334
Organization at the Same NPPES Address or Phone
Lighthouse Behavioral Wellness Centers Facility NPI 1427104546

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Durant and Oklahoma

53 active clinicians are listed under Peer Specialist with a practice address in Durant, OK (5,217 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Durant

0% of these 53 clinicians have the CMS telehealth indicator.

0% of these 53 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 06, 2024

Registered at 2425 W UNIVERSITY BLVD STE 102, DURANT, OK 747012970 (Tel: 8092473305)

πŸ“
Updated Business Mailing Address June 06, 2024

Registered at PO BOX 189, ARDMORE, OK 734020189 (Tel: 5803197305)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Peer Specialist

βœ…
NPI Profile Active June 26, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 26, 2015

Registered at 1121 STONEBROOK CIR, DURANT, OK 747015076 (Tel: 5805792048)

πŸ“
Business Mailing Address (Initial Record) June 26, 2015

Registered at 1121 STONEBROOK CIR, DURANT, OK 747015076 (Tel: 5805792048)

πŸ‘€
Provider Name / Credentials (Initial Record) June 26, 2015

Recorded as MARSHELLDRA COOK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2015

Social Worker

🟒
Initial NPI Registration & Enumeration June 26, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083096978
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2015
Last Update: June 06, 2024
Sole Proprietor: No

Mailing Address

Po Box 189

Ardmore, OK 734020189

Phone: 5803197305

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.