Active NPI
Brittnie A Cockrell
- Mental Health Counselor
- Punta Gorda, FL
National Provider Identifier
1376085183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH19971
- Practice address
- 25097 Olympia Ave Ste 205
Punta Gorda, FL 33950-3912 - Phone
- (941) 347-8341
- Fax
- (941) 347-7702
- NPI assigned
- Nov 9, 2016
- Last updated
- Jul 13, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | IMH19971 | FL | |
| Mental Health Counselor | 101YM0800X | IMH19971 | FL | Primary |
Addresses
Primary practice location
25097 Olympia Ave Ste 205
Punta Gorda, FL 33950-3912
Mailing address
25097 Olympia Ave Ste 205
Punta Gorda, FL 33950-3912
Phone (941) 347-8341
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH19971 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Paradise Behavioral Health, LLC | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Punta Gorda, FL
- NPI 1215462288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626134400000",
"number": "1376085183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25097 OLYMPIA AVE STE 205",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503912",
"telephone_number": "941-347-8341",
"fax_number": "941-347-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25097 OLYMPIA AVE STE 205",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503912",
"telephone_number": "941-347-8341",
"fax_number": "941-347-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKRELL",
"first_name": "BRITTNIE",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "IMH19971",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH19971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Punta Gorda, FL
- Janet E Clark, MD
- Barbara White Clavey, LMHC
- Coast Florida P.a. (Coast Dental-Punta Gorda)
- Coastal Breeze Home Health, LLC
- Coastal Life Healthcare LLC
- Rachael Cohen
- Linda S Collins, CLINICIAN
- Lizette Colon-Villanueva, RPH
- Comfortable Care Dental Health Professionals, P.a. (Dental Care at Babcock Ranch)
- Comfortable Care Dental Health Professionals, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.