Active NPI
Terry J. Cockrell, LPC, CSAC,
- Addiction (Substance Use Disorder) Counselor
- Fredericksburg, VA
National Provider Identifier
1760575047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 0710001122
- Practice address
- 150 Olde Greenwich Dr
Fredericksburg, VA 22408-4063 - Phone
- (540) 898-6851
- Fax
- (540) 898-6398
- NPI assigned
- Oct 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0710001122 | VA | Primary |
| Professional Counselor | 101YP2500X | 0701002487 | VA |
Addresses
Primary practice location
150 Olde Greenwich Dr
Fredericksburg, VA 22408-4063
Mailing address
150 Olde Greenwich Dr
Fredericksburg, VA 22408-4063
Phone (540) 898-6851
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082355 | Other | VA | SENTARA |
| 214991 | Other | VA | ANTHEM HEALTHKEEPERS |
| 214991 | Other | VA | ANTHEM BC/BS FEDERAL |
| 65340001 | Other | VA | CARE FIRST BC/BS |
| 5409721 | Medicaid | VA | |
| 214991 | Other | VA | ANTHEM BC/BS |
| 2240716 | Other | VA | CIGNA |
| 352119 | Other | VA | MAMSI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0710001122 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0701002487 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transformations Counseling Services LLP | Past | Accepting new patients |
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.
-
- Counselor
- Fredericksburg, VA
- NPI 1265592026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1760575047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 OLDE GREENWICH DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224084063",
"telephone_number": "540-898-6851",
"fax_number": "540-898-6398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 OLDE GREENWICH DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224084063",
"telephone_number": "540-898-6851",
"fax_number": "540-898-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCKRELL",
"first_name": "TERRY",
"middle_name": "J.",
"credential": "LPC, CSAC,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0710001122",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701002487",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "082355",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTHKEEPERS",
"identifier": "214991",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS FEDERAL",
"identifier": "214991",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST BC/BS",
"identifier": "65340001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5409721",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "214991",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2240716",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "352119",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.