Individual provider Active NPI

Jennifer Cockerell, LPC

  • Mental Health Counselor
  • Mansfield, TX
National Provider Identifier
1679211437
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
81349 Issued in TX
Practice address
601 Strada Cir # 109
Mansfield, TX 76063-3212
Phone
(214) 500-8204
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 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 81349 TX Primary

Addresses

Primary practice location

601 Strada Cir # 109
Mansfield, TX 76063-3212

Mailing address

4606 Sailboat Dr
Mansfield, TX 76063-6745
Phone (214) 500-8204

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

State licenses

LicenseStateTypeSpecialty
81349TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivating Minds, PLLC CurrentSince May 29, 2022 Accepting new patients

Locations

601 Strada Cir
#109
Mansfield, TX 76063
Phone (817) 320-6657

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.

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1679211437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 SAILBOAT DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636745",
            "telephone_number": "214-500-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STRADA CIR # 109",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633212",
            "telephone_number": "214-500-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKERELL",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "81349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

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