Kathleen Roberts Cockrell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701012871 Issued in VA

Practice address

508 E Main St Ste 500
Salem, VA 24153-4325

Phone

(540) 375-7307

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Enjoy Counseling Services LLC

  • Counselor
  • Salem, VA
  • NPI 1528731429
  Medicare reassignment NPD
• Chad Wills Professional Counseling Services, Inc.

  • Professional Counselor
  • Roanoke, VA
  • NPI 1861785875
  NPD (past)

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1922880947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 E MAIN ST STE 500",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534325",
            "telephone_number": "540-375-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E MAIN ST STE 500",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241534325",
            "telephone_number": "540-375-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "KATHLEEN",
        "middle_name": "ROBERTS",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Clevinger
• Kyle Clifford
• Rebecca Allison Cloudt, DDS
• Sierra Danielle Coartney
• Meghan Cochran
• Sarah Davidson Cocowitch, LPC
• Laura Good Coffey
• Maurice E Coffey, M.D.
• Marsha R Coggins, LPTA
• Cognitive Care Connect, PLLC

• Professional Counselor in Salem, VA
• Providers in Salem, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.