Individual provider Active NPI

Catherine Cocking Stobaugh, MED MTS LCDC CSAT

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1720367071
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
TDSHS2868 Issued in TX
Practice address
10632 Northboro St
Dallas, TX 75230-4453
Phone
(214) 692-0103
NPI assigned
Aug 4, 2011
Last updated
Aug 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2868 TX
Mental Health Counselor 101YM0800X TDSHS2868 TX Primary
Mental Health Counselor 101YM0800X TDSHS2686 TX

Addresses

Primary practice location

10632 Northboro St
Dallas, TX 75230-4453

Mailing address

10632 Northboro St
Dallas, TX 75230-4453
Phone (214) 692-0103

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
2868TXMDMental Health Counselor
TDSHS2686TXMDMental Health Counselor
TDSHS2868TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312416000000",
    "number": "1720367071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10632 NORTHBORO ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304453",
            "telephone_number": "214-692-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 NORTHBORO ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304453",
            "telephone_number": "214-692-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOBAUGH",
        "first_name": "CATHERINE",
        "middle_name": "COCKING",
        "name_prefix": "Ms.",
        "credential": "MED MTS LCDC CSAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "2868",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "TDSHS2868",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "TDSHS2686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.