Cocreate Prof Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006748 Issued in IL

Legal business name

COCREATE PROF CORP

Practice address

3850 N Lawndale Ave
Ste 203
Chicago, IL 60618-4115

Phone

(773) 539-9183

Fax

(773) 509-0874

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joann Dakota Cimo, PHDNPI 1982650263

Title

President

Phone

(773) 539-9183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joann Dakota Cimo, PHD CLINICAL PSYCHOL

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1982650263
  Medicare reassignment Authorized official
• Theo Pintzuk, LCSW

  • Social Worker
  • Chicago, IL
  • NPI 1063455889
  Medicare reassignment
• Michael Kenney, LCSW

  • Clinical Social Worker
  • Dawsonville, GA
  • NPI 1952552796
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1396771697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 N LAWNDALE AVE",
            "address_2": "STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184115",
            "telephone_number": "773-539-9183",
            "fax_number": "773-509-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 N LAWNDALE AVE",
            "address_2": "STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184115",
            "telephone_number": "773-539-9183",
            "fax_number": "773-509-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCREATE PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "CIMO",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "DAKOTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-539-9183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Cockrell- Tapalla, FNP-BC
• Richard Hammond Cockrum, M.D.
• Abigail Coco
• Anna Marie Coco
• Sarah Marie Cocoma, M.D.
• John Codd, L.C.S.W., C.A.D.C.
• Kaitlin Codd, PT, DPT
• Christina Ethelyn Coderre, DNP
• Kelly Coderre
• Nathaniel Codina, OTR-L

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.