Latasheanne Cockhren

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Practice address

6449 S 16TH PL
Phoenix, AZ 85042-4569

Phone

(619) 647-7568

NPI assigned

May 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Young Residential LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1184290934

  Community Based Residential Treatment Facility, Mental Illness

  NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1821663683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 S MCQUEEN RD APT 3002",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861849",
            "telephone_number": "619-647-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6449 S 16TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424569",
            "telephone_number": "619-647-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKHREN",
        "first_name": "LATASHEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PHOENIX",
            "affiliation": "N",
            "address_1": "6449 S 16th Pl",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850424569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler Austin Cobbs, DO
• Kathleen Cochran
• Kelsey E Cochrane, BS
• Nathan James Cockerill, MD
• Arminda Ayala Cockett, SLPA
• Matthew A. Cocking, PA
• Steven M Cocking, PAC
• Jada Cockrell
• Ryan Michael Cockrell, PHARMD
• Lynne Cockrum-Murphy, LISAC

• Mental Illness Community Based Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.