Active NPI
Trevor Cocheres, LCDC
- Addiction (Substance Use Disorder) Psychologist
- Austin, TX
National Provider Identifier
1790468759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- 16502
- Practice address
- 11825 Eragon Dr
Austin, TX 78754-3105 - Phone
- (918) 964-6547
- NPI assigned
- Aug 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 16502 | TX | Primary |
Addresses
Primary practice location
11825 Eragon Dr
Austin, TX 78754-3105
Mailing address
11825 Eragon Dr
Austin, TX 78754-3105
Phone (918) 964-6547
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 |
|---|---|---|---|
| 16502 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1790468759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11825 ERAGON DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787543105",
"telephone_number": "918-964-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11825 ERAGON DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787543105",
"telephone_number": "918-964-6547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHERES",
"first_name": "TREVOR",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "16502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.