Active NPI
Jonathan Cochran
- Addiction (Substance Use Disorder) Counselor
- Arnold, MO
National Provider Identifier
1427473669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R114210006
- Practice address
- 21 Municipal Dr
Arnold, MO 63010-1012 - Phone
- (636) 296-6206
- NPI assigned
- Feb 25, 2014
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R114210006 | MO | Primary |
| Case Manager/Care Coordinator | 171M00000X | R114210006 | MO |
Addresses
Primary practice location
21 Municipal Dr
Arnold, MO 63010-1012
Mailing address
21 Municipal Dr
Arnold, MO 63010-1012
Phone (636) 296-6206
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 |
|---|---|---|---|
| R114210006 | MO | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1427473669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MUNICIPAL DR",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630101012",
"telephone_number": "636-296-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 MUNICIPAL DR",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630101012",
"telephone_number": "636-296-6206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "JONATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-25",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "R114210006",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MO",
"license": "R114210006",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.