Individual provider Active NPI

Megan Fredricks Cocco, LCSWC

  • Mental Health Counselor
  • Glen Burnie, MD
National Provider Identifier
1871044834
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19279 Issued in MD
Practice address
1600 Crain Hwy S
Suite 503
Glen Burnie, MD 21061-5577
Phone
(443) 354-1200
Fax
(410) 553-0019
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 19279 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S
Suite 503
Glen Burnie, MD 21061-5577

Mailing address

1600 Crain Hwy S
Suite 503
Glen Burnie, MD 21061-5577
Phone (443) 354-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19279MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cocco Consulting, LLC Current 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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1871044834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 503",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "443-354-1200",
            "fax_number": "410-553-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S",
            "address_2": "SUITE 503",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615577",
            "telephone_number": "443-354-1200",
            "fax_number": "410-553-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCO",
        "first_name": "MEGAN",
        "middle_name": "FREDRICKS",
        "name_prefix": "Mrs.",
        "credential": "LCSWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "19279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.