Individual provider Active NPI

Mark Douglas Cochran

  • Marriage & Family Therapist
  • Cypress, TX
National Provider Identifier
1083144240
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204050 Issued in TX
Practice address
8118 Fry Rd Ste 203
Cypress, TX 77433-7851
Phone
(281) 377-3743
Fax
(713) 904-2417
NPI assigned
Jun 19, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204050 TX Primary

Addresses

Primary practice location

8118 Fry Rd Ste 203
Cypress, TX 77433-7851

Mailing address

2030 Naplechase Crest Dr
Spring, TX 77373-2002
Phone (832) 823-4576

Other practice location 1

25511 Budde Rd Ste 1002
The Woodlands, TX 77380-2089
Phone (936) 777-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240604003178 TX Practitioner - Marriage and Family Therapist 3173065265 Reassigns benefits to 1 organization
I20250801004018 AZ Practitioner - Marriage and Family Therapist 3173065265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
204050TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Apr 30, 2024 Accepting new patients
Cypress Mental Health PLLC Mental Health CurrentSince Sep 25, 2023 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

8118 Fry Rd
Ste 203
Cypress, TX 77433
Phone (281) 377-3743

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1083144240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 NAPLECHASE CREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773732002",
            "telephone_number": "832-823-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 FRY RD STE 203",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337851",
            "telephone_number": "281-377-3743",
            "fax_number": "713-904-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25511 Budde Rd Ste 1002",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773802089",
            "country_code": "US",
            "telephone_number": "936-777-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2023-09-05",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.