Zackary Dalton Coco, MNSC, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

120487 Issued in AR

Practice address

10816 Executive Center Dr Ste 104
Little Rock, AR 72211-4381

Phone

(501) 506-1587

Fax

(501) 298-2165

NPI assigned

Oct 19, 2017

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Coco Psychiatric Services PLLCGroup PAC ID 9537579750, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Coco Psychiatric Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Rock, AR
  • NPI 1326647918
  Medicare reassignment Care Compare group NPD Authorized official
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1932261013
  NPD
• Lead, Teach, Mentor LLC

  • Community/Behavioral Health Agency
  • Conway, AR
  • NPI 1497167548
  NPD (past)

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1194236935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10816 EXECUTIVE CENTER DR STE 104",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114381",
            "telephone_number": "501-506-1587",
            "fax_number": "501-298-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10816 EXECUTIVE CENTER DR STE 104",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114381",
            "telephone_number": "501-506-1587",
            "fax_number": "501-298-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 Fountain Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720343691",
            "country_code": "US",
            "telephone_number": "501-506-1587",
            "fax_number": "501-298-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCO",
        "first_name": "ZACKARY",
        "middle_name": "DALTON",
        "credential": "MNSC, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "120487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF NURSING - APRN - CNP LICENSE",
            "identifier": "120487",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BOARD OF NURSING - RN LICENSE",
            "identifier": "R101597",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecelia A Cockburn, CRNA
• Kaitlin E Cockerell, M.D.
• Harry Howard Cockrill Jr., MD
• Coco Psychiatric Services PLLC
• Suzanne Kemp Coco, D.D.S., M.D.S.
• Samuel Codemo, PT
• Sarah Alice Codemo, DPT
• Heather Cody, CRNA
• Reagan Cody, APRN, NP-C
• Stephanie Cody, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2025; 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.