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MISS HOLLY CHRISTINA COCKRUM M.ED, LPC
NPI 1205166030
Counselor - Professional in Edmond, OK

Active since December 29, 2009PECOS Enrolled
820 W 15TH ST, EDMOND, OK 73013(405) 858-2700 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 20, 2026, Apr 9, 2025 (2 updates tracked since 2025).

About Miss Holly Christina Cockrum M.ed, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS HOLLY CHRISTINA COCKRUM M.ED, LPC (NPI 1205166030) is an individual professional provider in Edmond, Oklahoma, licensed in Oklahoma (4094) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1205166030
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMISS HOLLY CHRISTINA COCKRUMCredential: M.ED, LPC
Location Address820 W 15TH STEdmond, OK 73013-3621
Mailing Address820 W 15th StEdmond, OK 73013-3621 · (405) 858-2700
Phone(405) 858-2700
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 29, 2009
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1205166030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OK · 4094
820 W 15TH ST, Edmond, OK 73013
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12916 N Kelly AveEdmond, OK 73003-3233 · Phone (405) 715-5300 · Fax (405) 715-5350
Location 216400 N May AveEdmond, OK 73013-8971 · Phone (405) 471-6800 · Fax (405) 471-6811

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Holly Christina Cockrum M.ed, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264909837
PECOS Enrollment IDI20260430004286
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Holly Cockrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integris Ambulatory Care Corporation
5.8 mi
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
NPI 1750333936 (405) 951-2298

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT RICHTER
Peer Specialist
820 W 15TH ST
EDMOND, OK 73013
Oklahoma County (580) 858-2700
SHEILA LYNN EDDINS
Peer Specialist
820 W 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 858-1737
JESSICA GATLIN
Marriage & Family Therapist
820 W 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 858-1730
MRS. KERSTIN LEWIS
Case Manager/Care Coordinator
820 W 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 404-2463
WILLIAM SAMUEL MCKEE IV
Case Manager/Care Coordinator
820 W 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 858-2700
SARAH MICHELLE BROWN LPN
Licensed Practical Nurse
820 W 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 858-1737
RACHEL ANN WILKS
Case Manager/Care Coordinator
820 W 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 858-2700
JAMIE HAZELWOOD
Case Manager/Care Coordinator
820 W 15TH ST
EDMOND, OK 73013
Oklahoma County (405) 858-1730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Cockrum's NPI number?

The NPI number for Holly Cockrum is 1205166030. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Where is Holly Cockrum located?

Holly Cockrum practices at 820 W 15th St, Edmond, OK 73013. The listed phone number is (405) 858-2700.

What is Holly Cockrum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Holly Cockrum enrolled in Medicare?

Yes. Holly Cockrum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Cockrum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Cockrum reassigns Medicare benefits to Integris Ambulatory Care Corporation (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Cockrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holly Cockrum was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.