Gina Cochran, LPC – Professional Counselor

Key facts

NPI: 1508407263
Entity type: Individual (NPI type 1)
Primary specialty: Professional Counselor 101YP2500X
License: 2402 (MS)
Practice address: 1820 Old Mobile Ave
Pascagoula, MS 39567-4412
Phone: (228) 712-5077
Fax: (228) 202-1741
NPI assigned: Oct 3, 2019
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Cochran Counseling Services LLC Counselor · Pascagoula, MS · NPI 1578393179

NPD COUNSELOR

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
2402	MS	MD	Professional Counselor

Practice roles

Organization	Specialty	Status	New patients
Cochran Counseling Services LLC	Counselor	Current	Accepting new patients

Locations

1820 Old Mobile Ave
Pascagoula, MS 39567
Phone (228) 696-0230

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Counselor	101Y00000X
Professional Counselor	101YP2500X	2402	MS	Yes

Addresses

Primary practice location

1820 Old Mobile Ave
Pascagoula, MS 39567-4412

Mailing address

1820 Old Mobile Ave
Pascagoula, MS 39567-4412
Phone (228) 712-5077

Other names

Gina Kelly Cochran Former name

Other providers in Pascagoula, MS

All providers in Pascagoula, MS · Professional Counselor in Mississippi

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.