CANDACE DELIGHT COOK
NPI 1053951913
Counselor - Mental Health in Mesa, AZ

Active since January 08, 2020Opted out of Medicare · through May 30, 2027
3707 E SOUTHERN AVE STE 2016, MESA, AZ 85206(602) 741-5077 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Candace Delight Cook NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDACE DELIGHT COOK (NPI 1053951913) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LAMFT-10664) and active in the NPI registry since January 2020. She has opted out of Medicare through May 30, 2027.

NPPES Registry Identity

NPI1053951913
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCANDACE DELIGHT COOK
Location Address3707 E SOUTHERN AVE STE 2016Mesa, AZ 85206-6213
Mailing Address17505 N 79th Ave Ste 213cGlendale, AZ 85308-8728
Sole ProprietorNo
Enumeration DateJanuary 8, 2020
NPI 1053951913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in AZ · LAMFT-10664 Licensed in AZ · LAC-18525
3707 E SOUTHERN AVE STE 2016, Mesa, AZ 85206

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Candace Delight Cook has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 30, 2025 through May 30, 2027.

Opt-Out Effective DateMay 30, 2025
Opt-Out In Effect ThroughMay 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Cook's NPI number?

The NPI number for Candace Cook is 1053951913. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Candace Cook located?

Candace Cook practices at 3707 E Southern Ave Ste 2016, Mesa, AZ 85206. The listed phone number is (602) 741-5077.

What is Candace Cook's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Candace Cook enrolled in Medicare?

No. Candace Cook has opted out of Medicare through May 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Candace Cook was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.