Tyra Rose Cochran, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW071915174 Issued in WV

Practice address

7576 Seneca Trail
RT 219 N
Hillsboro, WV 24946

Phone

(304) 742-2025

Fax

(304) 653-4200

NPI assigned

Aug 8, 2019

Last updated

Aug 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainelle Medical Center IncGroup PAC ID 7416861810, shared by 16 NPIs, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rainelle Medical Center Inc

  dba Meadow Bridge Clinic

  • Federally Qualified Health Center (FQHC)
  • Meadow Bridge, WV
  • NPI 1093883324
  Medicare reassignment NPD
• Rainelle Medical Center, Inc

  dba RMC Lewisburg Pediatrics and Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1679223390
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba Maxwelton Health Center

  • Federally Qualified Health Center (FQHC)
  • Maxwelton, WV
  • NPI 1528417946
  Medicare reassignment NPD
• Rainelle Medical Center, Inc.

  dba Lewisburg Behavioral Health

  • Federally Qualified Health Center (FQHC)
  • Caldwell, WV
  • NPI 1578399085

  Mental Health

  Medicare reassignment NPD
• Rainelle Medical Center Inc

  dba Summers County Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Hinton, WV
  • NPI 1285303156
  NPD
• Rainelle Medical Center Inc

  • Federally Qualified Health Center (FQHC)
  • Rainelle, WV
  • NPI 1437227766
  NPD
• Rainelle Medical Center Inc

  dba Rupert Health Center

  • Federally Qualified Health Center (FQHC)
  • Rupert, WV
  • NPI 1811081821
  NPD
• Rainelle Medical Center, Inc

  dba Lewisburg Behavioral Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265068001

  Mental Health

  NPD
• Rainelle Medical Center, Inc

  dba Eastern Greenbrier Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1265101273
  NPD
• Rainelle Medical Center, Inc

  dba RMC Greenbrier Nephrology Center

  • Specialist
  • Lewisburg, WV
  • NPI 1437772225
  NPD
• Rainelle Medical Center, Inc.

  dba White Sulphur Springs Health Center

  • Federally Qualified Health Center (FQHC)
  • White Sulphur Springs, WV
  • NPI 1093165722
  NPD
• Rainelle Medical Center, Inc.

  dba Lewisburg Health Center

  • Federally Qualified Health Center (FQHC)
  • Lewisburg, WV
  • NPI 1497244412
  NPD

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1952956799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 MCCLUNG RD",
            "city": "RENICK",
            "state": "WV",
            "postal_code": "249667326",
            "telephone_number": "304-956-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7576 SENECA TRAIL",
            "address_2": "RT 219 N",
            "city": "HILLSBORO",
            "state": "WV",
            "postal_code": "24946",
            "telephone_number": "304-742-2025",
            "fax_number": "304-653-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "TYRA",
        "middle_name": "ROSE",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WV",
            "license": "SW071915174",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "SW071915174",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "SW071915174",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "SW071915174",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "SW071915174",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "SW071915174",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "WV",
            "license": "SW071915174",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "SW071915174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Blake
• Patricia M Browning, DO
• William M Browning Jr., DO
• Community Care of West Virginia, Inc. (Community Care of Hillsboro)
• Danette B Condon
• Kathy Ann Evans I, SERVICE COORDINATOR
• Joslyn Fitzgerald
• Matthew Friel

• Social Worker in Hillsboro, WV
• Providers in Hillsboro, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.