Individual provider Active NPI

Karla Cobern

  • Social Worker
  • Cleveland, OH
National Provider Identifier
1366056293
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2308981 Issued in OH
Practice address
2728 Euclid Ave
Cleveland, OH 44115-2429
Phone
(216) 243-1804
NPI assigned
Sep 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Social Worker 104100000X S.2308981 OH Primary

Addresses

Primary practice location

2728 Euclid Ave
Cleveland, OH 44115-2429

Mailing address

5813 Mayfield Rd Ste 203
Mayfield HTS, OH 44124-2937
Phone (216) 401-6564

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

LicenseStateTypeSpecialty
S.2308981OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upstar Mental Health Services LLC CurrentSince Oct 6, 2024 Accepting new patients
Upstar Mental Health Services LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

5813 Mayfield Rd
Ste 203
Mayfield Hts, OH 44124
Phone (216) 401-6564

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1366056293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 MAYFIELD RD STE 203",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242937",
            "telephone_number": "216-401-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152429",
            "telephone_number": "216-243-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBERN",
        "first_name": "KARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2308981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.