Active NPI
Katelyn Cocca, LPC
- Professional Counselor
- Palm, PA
National Provider Identifier
1053167205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC017045
- Practice address
- 969 Gravel Pike
Palm, PA 18070-1205 - Phone
- (610) 972-0430
- NPI assigned
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC017045 | PA | Primary |
Addresses
Primary practice location
969 Gravel Pike
Palm, PA 18070-1205
Mailing address
969 Gravel Pike
Palm, PA 18070-1205
Phone (610) 972-0430
Other names 1
- Ms. Katelyn Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC017045 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1053167205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 GRAVEL PIKE",
"city": "PALM",
"state": "PA",
"postal_code": "180701205",
"telephone_number": "610-972-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 GRAVEL PIKE",
"city": "PALM",
"state": "PA",
"postal_code": "180701205",
"telephone_number": "610-972-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCCA",
"first_name": "KATELYN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC017045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "BROWN",
"prefix": "MS.",
"credential": "NONE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.