MRS. KELLY L S COOK LICSW
NPI 1790847135
Counselor - Mental Health in Edina, MN

Q: What is Kelly Cook's NPI number?

The NPI number for Kelly Cook is 1790847135. It was assigned to this individual provider in the NPPES registry on December 14, 2006. The provider is also known as Kelly Lea Shepardson.

Q: What is Kelly Cook's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Cook was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since December 14, 2006PECOS Enrolled

7401 METRO BLVD STE 250, EDINA, MN 55439(320) 403-4013 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2024, Apr 29, 2021 (2 updates tracked since 2021).

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About Mrs. Kelly L S Cook Licsw NPPES

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

MRS. KELLY L S COOK LICSW (NPI 1790847135) is an individual mental health provider in Edina, Minnesota and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1790847135

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. KELLY L S COOKCredential: LICSW

Location Address7401 METRO BLVD STE 250Edina, MN 55439-3062

Mailing Address2700 1st St N Ste 100Saint Cloud, MN 56303-4585 · (320) 223-0503 · Fax (800) 692-2091

Phone(320) 403-4013

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 14, 2006

Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration

NPPES CertifiedNovember 20, 2024

✔ NPI 1790847135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 17541 (MN)

7401 METRO BLVD STE 250, Edina, MN 55439

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Other Names 1

Former Name (1)Kelly Lea Shepardson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelly L S Cook Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517062201

PECOS Enrollment IDI20070425000472

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

159 services13 patients

Other Providers at the Same Location NPPES 20

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

DR. AMY HILBURGER

Counselor (Mental Health)