Marisa Cockrell, MA, LPC-INTERN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81125 Issued in TX

Practice address

25510 Tomball Pkwy
Tomball, TX 77375-7730

Phone

(713) 306-7061

NPI assigned

Jun 19, 2019

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1568022630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11019 JACOB CROSSING DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774061401",
            "telephone_number": "281-685-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25510 TOMBALL PKWY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773757730",
            "telephone_number": "713-306-7061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Fm 1463 Rd",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774945449",
            "country_code": "US",
            "telephone_number": "281-665-3721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "MARISA",
        "credential": "MA, LPC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Tomball, TX
• Providers in Tomball, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.