Active NPI
Schwanna Y Cockerham-Qualls, LPC
- Professional Counselor
- Washington, DC
National Provider Identifier
1174791792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC13768
- Practice address
- 1234 19TH St NW Ste 230
Washington, DC 20036-2448 - Phone
- (202) 413-6240
- NPI assigned
- Feb 17, 2008
- 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 | PRC13768 | DC | Primary |
Addresses
Primary practice location
1234 19TH St NW Ste 230
Washington, DC 20036-2448
Mailing address
3836 Tremayne Ter
Silver Spring, MD 20906-2660
Phone (240) 669-8327
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 |
|---|---|---|---|
| PRC13768 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203206400000",
"number": "1174791792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3836 TREMAYNE TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209062660",
"telephone_number": "240-669-8327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 19TH ST NW STE 230",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200362448",
"telephone_number": "202-413-6240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKERHAM-QUALLS",
"first_name": "SCHWANNA",
"middle_name": "Y",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-17",
"last_updated": "2008-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC13768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.