Wanda Sue Coburn, MA., PCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0002808 Issued in OH

Practice address

900 Mull Ave
Akron, OH 44313-7502

Phone

(330) 867-5603

NPI assigned

Feb 22, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1174658884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MULL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137502",
            "telephone_number": "330-867-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MULL AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443137502",
            "telephone_number": "330-867-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "WANDA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MA., PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0002808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "34-1213335-026",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "00000217562",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2375451",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6289134",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "200131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton Cobb, LPCC, MFT
• Hunter Alan Cobble
• Natania Cobble
• Mary Petrea Cober, PHARMD
• Sara Lynn Coberly
• Aaron A Cochran, D.O.
• Angela Darlene Cochran
• Martin A. Cochran, M.D.
• Sherry Cochran, CNP
• Steven L Cochran, M.D., CAQG

• Mental Health Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.