Individual provider Active NPI

Terry J. Cockrell, LPC, CSAC,

  • Addiction (Substance Use Disorder) Counselor
  • Fredericksburg, VA
National Provider Identifier
1760575047
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
0710001122 Issued in VA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
082355OtherVASENTARA
214991OtherVAANTHEM HEALTHKEEPERS
214991OtherVAANTHEM BC/BS FEDERAL
65340001OtherVACARE FIRST BC/BS
5409721MedicaidVA
214991OtherVAANTHEM BC/BS
2240716OtherVACIGNA
352119OtherVAMAMSI

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
0710001122VAMDAddiction (Substance Use Disorder) Counselor
0701002487VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.