VICKIE COOKE
NPI 1306203880
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD
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
Specialties & Licenses 3
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Vickie Cooke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rosedale, MD 21237
- Reassigned Medicare billing, Maryland enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Vickie Cooke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vickie Cooke reassigns Medicare benefits to Healthy Minds LLC (Rosedale, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vickie Cooke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Vickie Cooke · NPI 1306203880
Addiction (Substance Use Disorder) provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since January 28, 2016.
## Identity
- **NPI:** 1306203880 (Entity type: Individual)
- **Enumerated:** January 28, 2016
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** LCA3165 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3806 RAVENWOOD AVE, Baltimore, MD 21213-2022
- **Phone:** (443) 629-0646
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Healthy Minds LLC (NPI 1437885795, Rosedale, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 6, 2023
- **Other identifiers:** Other SC1812 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1306203880) · Data from the CMS NPPES public registry.