Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vickie Cooke

Individual provider Case Manager/Care Coordinator · NPI 1306203880

Vickie Cooke is a Mental Health Counselor in Baltimore, Maryland. Qualified in 2022, 4 years ago. Practices with Healthy Minds LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

3806 Ravenwood Ave
Baltimore, MD 21213-2022
Phone: (443) 629-0646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCA3165 (MD)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence SC1812 (MD)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1306203880
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 28, 2016
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023
Mailing addressPo Box 3394, Baltimore, MD 21213-0394

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Healthy Minds Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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