MR. WADE HORTON COCKBURN (NPI# 1659510238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659510238 |
| Entity Type | Individual |
| Full Name | MR. WADE HORTON COCKBURN |
| Credential | MA, PHD(C) |
| Practice Address |
805 Ne Reservoir Ln Toledo OR 97391-1335 |
| Practice Telephone | 5413362254 |
| Practice Fax Number | 5413361803 |
| Mailing Telephone | 5413362254 |
| Mailing Fax Number | 5413361803 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 106 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PRIVATE NONPROFIT | 93-0698327 | 01 |
| Street Address |
805 NE RESERVOIR LN |
| City | TOLEDO |
| State | OR |
| Zip Code | 97391-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164546339 | Ray Allan Burleigh | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2007-03-16 |
| 1093035958 | Benjamin Williams | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2010-06-02 |
| 1841518875 | Erin Christian Detrick | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2010-05-14 |
| 1821223066 | Vanessa Johnson | Contractor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-05-18 |
| 1508006115 | Sandee D Penter | Contractor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-23 |
| 1972742443 | Susan Miller | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-06 |
| 1609015171 | Linda Rae Sorokin | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-06 |
| 1790924264 | John Bryon Larsen | Counselor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-06 |
| 1427297050 | Zann Marie Johnson | Contractor | 805 Ne Reservoir Ln, Toledo, OR 97391-1335 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851626360 | County of Lincoln | Clinic/Center | 1800 Ne Sturdevant Rd, Toledo, OR 97391 | 2009-10-16 |
| 1891936613 | Shahna Lynn Ashard | Counselor | 980 Se Reservoir Lane, Toledo, OR 97391 | 2009-03-09 |
| 1568543692 | Samaritan Pacific Health Services, Inc. | Clinic/Center | 199 West Highway 20, Toledo, OR 97391 | 2006-10-17 |
| 1043328768 | Gregory E Herkert | Dentist | 680 W Hwy 20, Toledo, OR 97391 | 2006-08-25 |
| 1134163496 | Dennis L. Kauffman | Family Medicine | 1744 Nw Business Hwy 20, Toledo, OR 97391 | 2006-06-16 |
| 1699854539 | Bruce C. Parsons | Optometrist | 680 W Highway 20, Toledo, OR 97391-0190 | 2006-11-02 |
| 1174906150 | Ryan Allan Millet | Dentist | 680 W Highway 20, Toledo, OR 97391-1125 | 2015-07-08 |
| 1982022000 | Mikes Mercantile Co | Pharmacy | 722 W Highway 20, Toledo, OR 97391-1128 | 2014-04-04 |
| 1902809502 | Uri Z Goldberg | Family Medicine | 199 W Highway 20, Toledo, OR 97391-1242 | 2005-05-27 |
| 1164863536 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 199 W Highway 20, Room 1, Toledo, OR 97391-1242 | 2013-07-12 |
| Find all providers in zip 97391 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194351064 | Rochelle Yvette Fletcher | Counselor | 2473 Hollywood Ave, Toledo, OH 43620-1041 | 2020-03-23 |
| 1417517475 | Richard Y Tuggle Sr. | Counselor | 4604 Blue Rock Ct, Toledo, OH 43615-7676 | 2019-06-20 |
| 1366917569 | Melissa Malinowski | Counselor | 7540 New West Road, Toledo, OH 43617 | 2018-10-04 |
| 1760984231 | Stacey Lynn Mclaughlin | Counselor | 6629 Central Avenue, Toledo, OH 43617 | 2018-03-01 |
| 1225586217 | Marlene Dolinar | Counselor | 3425 Executive Pkwy Ste 115, Toledo, OH 43606-1333 | 2016-09-19 |
| 1235553645 | Martha Campbell | Counselor | 1946 N 13th St Ste 420, Toledo, OH 43604-7264 | 2014-02-06 |
| 1801169743 | Melissa Ann Schaller | Counselor | 6715 Dorr St, Toledo, OH 43615-4207 | 2012-02-22 |
| 1891936613 | Shahna Lynn Ashard | Counselor | 980 Se Reservoir Lane, Toledo, OR 97391 | 2009-03-09 |
| 1508062597 | Will J Pecsok | Counselor | 3150 N Republic Suite #5, Toledo, OH 43615 | 2007-06-26 |
| 1154537249 | Workplace Resources LLC | Counselor | 3232 Executive Pkwy, Ste 105, Toledo, OH 43606-1397 | 2007-05-15 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.