Active NPI
Edmond Cochard, LPA
- Psychologist
- Shalotte, NC
National Provider Identifier
1235267766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4015
- Practice address
- 120 Coastal Horizons Drive
Shalotte, NC 28470 - Phone
- (910) 754-4515
- Fax
- (910) 754-7997
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4015 | NC | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 1742 | NC |
Addresses
Primary practice location
120 Coastal Horizons Drive
Shalotte, NC 28470
Mailing address
120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone (910) 754-4515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
610 S College Rd
Wilmington, NC 28403-3202
Phone (910) 799-1071
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4015 | NC | MD | Dental Hygienist |
| 1742 | NC | MD | Athletic Trainer |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Winston Salem, NC
- NPI 1043424013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1235267766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 COASTAL HORIZONS DR",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284706094",
"telephone_number": "910-754-4515",
"fax_number": "910-754-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 COASTAL HORIZONS DRIVE",
"city": "SHALOTTE",
"state": "NC",
"postal_code": "28470",
"telephone_number": "910-754-4515",
"fax_number": "910-754-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHARD",
"first_name": "EDMOND",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4015",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "1742",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shalotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.