KELLY J COOK
NPI 1639003445
Counselor - Mental Health in Mount Vernon, IL

Active since June 09, 2026
4206 WILLIAMSON PL STE 1, MOUNT VERNON, IL 62864(618) 316-7001 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly J Cook NPPES

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

KELLY J COOK (NPI 1639003445) is an individual mental health provider in Mount Vernon, Illinois and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1639003445
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY J COOK
Location Address4206 WILLIAMSON PL STE 1Mount Vernon, IL 62864-6761
Mailing Address4206 Williamson Pl Ste 1Mount Vernon, IL 62864-6761 · (618) 316-7001
Sole ProprietorNo
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1639003445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4206 WILLIAMSON PL STE 1, Mount Vernon, IL 62864

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 Kelly Cook's NPI number?

The NPI number for Kelly Cook is 1639003445. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Kelly Cook located?

Kelly Cook practices at 4206 Williamson Pl Ste 1, Mount Vernon, IL 62864. The listed phone number is (618) 316-7001.

What is Kelly Cook's specialty?

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

When was this NPI record last updated?

The NPPES record for Kelly Cook was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.