Active NPI
Christy Cocklin
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wadsworth, OH
National Provider Identifier
1073135133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Practice address
- 202 West St
Wadsworth, OH 44281-1556 - Phone
- (330) 606-8633
- NPI assigned
- May 12, 2020
- 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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
202 West St
Wadsworth, OH 44281-1556
Mailing address
202 West St
Wadsworth, OH 44281-1556
Phone (330) 606-8633
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccocklin@newdestinytreatmentcenter.com |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Destiny Treatment Center Mental Health and Special Services LLC | Current | Accepting new patients | |
| New Destiny Treatment Center Mental Health and Special Services LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Clinton, OH
- NPI 1073362034
-
- Adult Mental Health Clinic/Center
- Clinton, OH
- NPI 1255047494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1073135133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 WEST ST",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442811556",
"telephone_number": "330-606-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 WEST ST",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442811556",
"telephone_number": "330-606-8633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKLIN",
"first_name": "CHRISTY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccocklin@newdestinytreatmentcenter.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "202 West St",
"city": "Wadsworth",
"state": "OH",
"country_code": "US",
"postal_code": "442811556",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.