VICKIE COOKE
NPI 1306203880
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since January 28, 2016PECOS EnrolledAccepts Medicare Assignment
3806 RAVENWOOD AVE, BALTIMORE, MD 21213(443) 629-0646 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2023, Jan 28, 2016 (2 updates tracked since 2016).

About Vickie Cooke NPPES

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

VICKIE COOKE (NPI 1306203880) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (LCA3165) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306203880
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameVICKIE COOKE
Location Address3806 RAVENWOOD AVEBaltimore, MD 21213-2022
Mailing AddressPo Box 3394Baltimore, MD 21213-0394 · (443) 629-0646
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 28, 2016
Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
NPI 1306203880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MD · LCA3165
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License SC1812 (MD)
3806 RAVENWOOD AVE, Baltimore, MD 21213

Other Identifiers 1

OtherSC1812MD · Department Of Health And Mental Hygiene

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vickie Cooke is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628421765
PECOS Enrollment IDI20240125001321
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
3806 RAVENWOOD AVE
BALTIMORE, MD 21213

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 Vickie Cooke's NPI number?

The NPI number for Vickie Cooke is 1306203880. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Vickie Cooke located?

Vickie Cooke practices at 3806 Ravenwood Ave, Baltimore, MD 21213. The listed phone number is (443) 629-0646.

What is Vickie Cooke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Vickie Cooke enrolled in Medicare?

Yes. Vickie Cooke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vickie Cooke was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.