Individual provider Active NPI

Joleyn Cobbs

  • Mental Health Counselor
  • Ketchikan, AK
National Provider Identifier
1750196416
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2524 First Ave
Ketchikan, AK 99901-5804
Phone
(907) 225-4664
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 Primary

Addresses

Primary practice location

2524 First Ave
Ketchikan, AK 99901-5804

Mailing address

PO Box 7475
Ketchikan, AK 99901-2475

Other identifiers 2

IdentifierTypeStateIssuer
1703638MedicaidAK
1713721MedicaidAK

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

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Youth & Community (Ryc) CurrentSince Feb 23, 2025 Accepting new patients
Resilient Youth & Community (Ryc) CurrentSince Jun 1, 2025 Accepting new patients

Locations

2524 First Ave
Ketchikan, AK 99901
Phone (907) 202-8752

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rycalaska/r4/

Organizations & group practices 2

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": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1750196416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7475",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999012475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 FIRST AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015804",
            "telephone_number": "907-225-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBBS",
        "first_name": "JOLEYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1703638",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1713721",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.