Active NPI
Jason Edward Cochran, LPC, LAC
- Professional Counselor
- Greenville, SC
National Provider Identifier
1891187712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6382
- Practice address
- 7 Pettigru St
Greenville, SC 29601-3028 - Phone
- (864) 235-7501
- Fax
- (864) 235-7503
- NPI assigned
- Mar 2, 2015
- Last updated
- Dec 28, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 596 | SC | |
| Mental Health Counselor | 101YM0800X | |||
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | 6382 | SC | Primary |
Addresses
Primary practice location
7 Pettigru St
Greenville, SC 29601-3028
Mailing address
7 Pettigru St
Greenville, SC 29601-3028
Phone (864) 235-7501
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 |
|---|---|---|---|
| 596 | SC | MD | Audiologist |
| 6382 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Mercy | Counselor | Current | Accepting new patients |
Locations
12 Waite St
Ste B1
Greenville, SC 29607
Phone (864) 214-6680
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Greenville Mercy Counseling
- Professional Counselor
- Greenville, SC
- NPI 1851197727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1891187712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PETTIGRU ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013028",
"telephone_number": "864-235-7501",
"fax_number": "864-235-7503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 PETTIGRU ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296013028",
"telephone_number": "864-235-7501",
"fax_number": "864-235-7503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "JASON",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "LPC, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-02",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "SC",
"license": "596",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "6382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.