Individual provider Active NPI

Nina Cocic, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1790438786
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CDCA.179528 Issued in OH
Practice address
13377 Smith Rd
Cleveland, OH 44130-7810
Phone
(440) 340-5558
NPI assigned
Jan 31, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.179528 OH Primary

Addresses

Primary practice location

13377 Smith Rd
Cleveland, OH 44130-7810

Mailing address

13377 Smith Rd
Cleveland, OH 44130-7810
Phone (440) 340-5558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ninac@evolve-bh.com

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
CDCA.179528OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1790438786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13377 SMITH RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441307810",
            "telephone_number": "440-340-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13377 SMITH RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441307810",
            "telephone_number": "440-340-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCIC",
        "first_name": "NINA",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.179528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ninac@evolve-bh.com",
            "affiliation": "N",
            "address_1": "13377 Smith Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441307810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.