Active NPI
Kevin D Cobb
- Counselor
- Elk Grove, CA
National Provider Identifier
1821453036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 9412 Big Horn Blvd
Elk Grove, CA 95758-1101 - Phone
- (916) 226-2890
- Fax
- (916) 226-2804
- NPI assigned
- Dec 15, 2015
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Mailing address
9412 Big Horn Blvd
Elk Grove, CA 95758-1101
Phone (916) 226-2890
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Oak Center for Children | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Elk Grove, CA
- NPI 1912052184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1821453036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9412 BIG HORN BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957581101",
"telephone_number": "916-226-2890",
"fax_number": "916-226-2804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9412 BIG HORN BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957581101",
"telephone_number": "916-226-2890",
"fax_number": "916-226-2804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "KEVIN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.