Active NPI
Wilma Cobb
- Professional Counselor
- Arvada, CO
National Provider Identifier
1396347779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0005771
- Practice address
- 6328 W 69TH Ave
Arvada, CO 80003-4125 - Phone
- (303) 912-1588
- NPI assigned
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0005771 | CO | Primary |
Addresses
Primary practice location
6328 W 69TH Ave
Arvada, CO 80003-4125
Mailing address
PO Box 740164
Arvada, CO 80006-0164
Phone (303) 912-1588
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0005771 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605312000000",
"number": "1396347779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740164",
"city": "ARVADA",
"state": "CO",
"postal_code": "800060164",
"telephone_number": "303-912-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6328 W 69TH AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800034125",
"telephone_number": "303-912-1588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "WILMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-14",
"certification_date": "2020-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0005771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.