Individual provider Active NPI

Holly Christina Cockrum, M.ED, LPC

  • Professional Counselor
  • Edmond, OK
National Provider Identifier
1205166030
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4094 Issued in OK
Practice address
820 W 15TH St
Edmond, OK 73013-3621
Phone
(405) 858-2700
NPI assigned
Dec 29, 2009
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4094 OK Primary

Addresses

Primary practice location

820 W 15TH St
Edmond, OK 73013-3621

Mailing address

820 W 15TH St
Edmond, OK 73013-3621
Phone (405) 858-2700

Other practice location 1

2916 N Kelly Ave
Edmond, OK 73003-3233
Phone (405) 715-5300

Other practice location 2

16400 N May Ave
Edmond, OK 73013-8971
Phone (405) 471-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20260430004286 OK Practitioner - Mental Health Counselor 2264909837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3001 Quail Springs Pkwy
FL 5
Oklahoma City, OK 73134-2640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbeam Family Services Past Accepting new patients
Sunbeam Family Services, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1205166030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133621",
            "telephone_number": "405-858-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133621",
            "telephone_number": "405-858-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2916 N Kelly Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730033233",
            "country_code": "US",
            "telephone_number": "405-715-5300",
            "fax_number": "405-715-5350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16400 N May Ave",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730138971",
            "country_code": "US",
            "telephone_number": "405-471-6800",
            "fax_number": "405-471-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKRUM",
        "first_name": "HOLLY",
        "middle_name": "CHRISTINA",
        "name_prefix": "Miss",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.