TERRY J. COCKRELL LPC CSAC NPI 1760575047

NPI Information

NPI: 1760575047
Provider Name: TERRY J. COCKRELL, LPC, CSAC,
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
150 OLDE GREENWICH DR
FREDERICKSBURG, VA
ZIP 22408
Phone: (540) 898-6851
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Terry J. Cockrell, LPC, CSAC, is an addiction (substance use disorder) counselor in Fredericksburg, VA. Terry J. Cockrell, LPC, CSAC, NPI is 1760575047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 OLDE GREENWICH DR
FREDERICKSBURG, VA
ZIP 22408-063
Phone: (540) 898-6851
Fax: (540) 898-6398

The enumeration date for this NPI number is 10/1/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0710001122	VIRGINIA	Yes
2	101YP2500X	Counselor	Professional	0701002487	VIRGINIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5409721	MEDICAID	VIRGINIA
2	352119	OTHER	VIRGINIA	MAMSI
3	082355	OTHER	VIRGINIA	SENTARA
4	214991	OTHER	VIRGINIA	ANTHEM BC/BS
5	214991	OTHER	VIRGINIA	ANTHEM HEALTHKEEPERS
6	2240716	OTHER	VIRGINIA	CIGNA
7	214991	OTHER	VIRGINIA	ANTHEM BC/BS FEDERAL
8	65340001	OTHER	VIRGINIA	CARE FIRST BC/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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