Carmen Cochran, PSYD, DLLP, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401013120 Issued in MI

Practice address

17374 Indian
Redford, MI 48240-2335

Phone

(248) 313-8802

NPI assigned

Jun 28, 2013

Last updated

Aug 8, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Emboldened Psychological Services, PLLC

  • Mental Health Counselor
  • Farmington Hills, MI
  • NPI 1598526659
  Medicare reassignment NPD Authorized official
• Pathways 2 PLLC

  • Mental Health Counselor
  • Warren, MI
  • NPI 1417209057
  NPD (past)

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1619317096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17374 INDIAN",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402335",
            "telephone_number": "248-313-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17374 INDIAN",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482402335",
            "telephone_number": "248-313-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "CARMEN",
        "credential": "PSYD, DLLP, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013120",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6351004342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thelma Staley Clark, CRC, LPC
• Clinical Counseling Services
• Markita Denise Close, BS, CCHW
• Bonita Burton Cobb, LMSW
• Chiara Coburn-Dees
• Terrance Anderson Cochran
• Shirley Ann Cockrell, CPSS
• Darlene Coleman Coleman, LLBSW
• David Coleman
• Kendella Lakecia Coleman, LPC

• Professional Counselor in Redford, MI
• Providers in Redford, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.