Michael Brian Cochran, SUDPT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61365459 Issued in WA

Practice address

9500 Front St S Ste 100
Lakewood, WA 98499-9415

Phone

(253) 655-0645

NPI assigned

Nov 23, 2022

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1649989146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLD PACIFIC HWY SE APT B105",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139570",
            "telephone_number": "360-559-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 FRONT ST S STE 100",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984999415",
            "telephone_number": "253-655-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "credential": "SUDPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61365459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Clure, BA
• Carla Clyde
• Leah Coakley, LMHCA
• David Scott Cobb, M.D.
• Lee Jason Cobert, LICSW
• Echo Cochrell, MS
• Cheryl T Coddington, OTRL
• Angela Lee Coe
• Darlene Renarita Coe, M.D.
• Megan Ashley Cognevich, L.M.P.

• Addiction (Substance Use Disorder) Counselor in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.