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TAMMERA M COOKE MA, LMHC, PSYD
NPI 1366208712
Counselor - Mental Health in Centralia, WA

Active since February 23, 2024Opted out of Medicare · through Mar 22, 2028
1807 COOKS HILL RD, CENTRALIA, WA 98531(626) 884-7382 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tammera M Cooke Ma, Lmhc, Psyd NPPES

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

TAMMERA M COOKE MA, LMHC, PSYD (NPI 1366208712) is an individual mental health provider in Centralia, Washington, licensed in Washington (LH60652150) and active in the NPI registry since February 2024. She has opted out of Medicare through March 22, 2028.

NPPES Registry Identity

NPI1366208712
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAMMERA M COOKECredential: MA, LMHC, PSYD
Location Address1807 COOKS HILL RDCentralia, WA 98531-9072
Mailing Address1807 Cooks Hill RdCentralia, WA 98531-9072 · (626) 884-7382
Phone(626) 884-7382
Sole ProprietorYes
Enumeration DateFebruary 23, 2024
Last NPPES UpdateMarch 8, 2024
NPPES CertifiedMarch 8, 2024
✔ NPI 1366208712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60652150
1807 COOKS HILL RD, Centralia, WA 98531
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tammera M Cooke Ma, Lmhc, Psyd 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 March 22, 2024 through March 22, 2028.

Opt-Out Effective DateMarch 22, 2024
Opt-Out In Effect ThroughMarch 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

AVOIDING THE COUCH, LLC
Counselor
1807 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (253) 999-9079
MS. PATRICIA ROBIN GEIST LMHC
Counselor
1807 COOKS HILL RD
CENTRALIA, WA 98531
Lewis County (253) 999-9079

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 Tammera Cooke's NPI number?

The NPI number for Tammera Cooke is 1366208712. It was assigned to this individual provider in the NPPES registry on February 23, 2024.

Where is Tammera Cooke located?

Tammera Cooke practices at 1807 Cooks Hill Rd, Centralia, WA 98531. The listed phone number is (626) 884-7382.

What is Tammera Cooke's specialty?

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

Is Tammera Cooke enrolled in Medicare?

No. Tammera Cooke has opted out of Medicare through March 22, 2028. 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 Tammera Cooke was last updated on March 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.