Active NPI
Cory Lamoine Cobb, PHD
- Counseling Psychologist
- Bryan, TX
National Provider Identifier
1932939279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 39553
- Practice address
- 3354 Hunters Crossing TRL
Bryan, TX 77808-2350 - Phone
- (501) 749-3382
- NPI assigned
- Aug 2, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 39553 | TX | Primary |
Addresses
Primary practice location
3354 Hunters Crossing TRL
Bryan, TX 77808-2350
Mailing address
3354 Hunters Crossing TRL
Bryan, TX 77808-2350
Phone (501) 749-3382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1932939279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3354 HUNTERS CROSSING TRL",
"city": "BRYAN",
"state": "TX",
"postal_code": "778082350",
"telephone_number": "501-749-3382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3354 HUNTERS CROSSING TRL",
"city": "BRYAN",
"state": "TX",
"postal_code": "778082350",
"telephone_number": "501-749-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "CORY",
"middle_name": "LAMOINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-02",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "39553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.