Organization Active NPI

Cocoa Counseling Center

  • Community/Behavioral Health Agency
  • Hershey, PA
National Provider Identifier
1902277213
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COCOA COUNSELING CENTER
Practice address
1512 E Caracas Ave
Suite 300
Hershey, PA 17033-1184
Phone
(717) 298-1238
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Prof. Jaeme Tanene Schwartz-Bogrette, M.A.
Title
Owner
Phone
(717) 298-1366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1512 E Caracas Ave
Suite 300
Hershey, PA 17033-1184

Mailing address

1512 E Caracas Ave
Suite 300
Hershey, PA 17033-1184
Phone (717) 298-1238

Other identifiers 1

IdentifierTypeStateIssuer
1760808554MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1902277213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 E CARACAS AVE",
            "address_2": "SUITE 300",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331184",
            "telephone_number": "717-298-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 E CARACAS AVE",
            "address_2": "SUITE 300",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331184",
            "telephone_number": "717-298-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOA COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ-BOGRETTE",
        "authorized_official_first_name": "JAEME",
        "authorized_official_middle_name": "TANENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-298-1366",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760808554",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.