Individual provider Active NPI

Caroline Roberson Cockman, M.ED, LCMHC

  • Mental Health Counselor
  • Apex, NC
National Provider Identifier
1427766971
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
201 S Salem St
Apex, NC 27502-1824
Phone
(919) 423-8749
NPI assigned
Nov 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

201 S Salem St
Apex, NC 27502-1824

Mailing address

1671 Padstone Dr
Apex, NC 27502-6517

Other practice location 1

1671 Padstone Dr
Apex, NC 27502-6517
Phone (919) 423-8749

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caroline@peakcitypsychology.com

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1427766971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 PADSTONE DR",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275026517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S SALEM ST",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275021824",
            "telephone_number": "919-423-8749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1671 Padstone Dr",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275026517",
            "country_code": "US",
            "telephone_number": "919-423-8749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKMAN",
        "first_name": "CAROLINE",
        "middle_name": "ROBERSON",
        "credential": "M.ED, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caroline@peakcitypsychology.com",
            "affiliation": "N",
            "address_1": "201 S Salem St",
            "city": "Apex",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275021824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.