Cokey Yvonne Powell, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PMH1752 Issued in FL

Practice address

3100 University Blvd S Ste 119
Jacksonville, FL 32216-2737

Phone

(904) 337-9950

Fax

(904) 212-2509

NPI assigned

Oct 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emdr Trauma Therapy Center LLCGroup PAC ID 8123470192, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Emdr Trauma Therapy Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fleming Island, FL
  • NPI 1407474943
  Medicare reassignment Care Compare group NPD
• Cokey Powell PHD Transitional Counseling Services, LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1205594223
  NPD Authorized official
• Ebtide Counseling Group, Inc

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1144871351
  NPD (past)
• Ebtide Counseling LLC

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1588139380
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1194050997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 119",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162737",
            "telephone_number": "619-318-4541",
            "fax_number": "904-904-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 UNIVERSITY BLVD S STE 119",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162737",
            "telephone_number": "904-337-9950",
            "fax_number": "904-212-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "COKEY",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "RPS2009032",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PMH1752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alix Corrin Powell, CRNA
• Aneisha Powell, NBC-HWC
• Annmarie Powell, MSW
• Anthony Javaris Powell
• Aurelia Anetta Powell, MS
• David Jason Powell, M.D.
• Dee Ann Powell, RN
• Jamaal James Powell, SOCIAL WORKER, LCSW
• Jamearl L Powell
• James Lavance Powell III, O.D.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.