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MYISHA COCKERHAM
NPI 1215826979
Counselor - Addiction (Substance Use Disorder) in Winston Salem, NC

Active since June 30, 2025
1617 S HAWTHORNE RD, WINSTON SALEM, NC 27103(336) 842-6980(336) 842-6980 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Myisha Cockerham NPPES

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

MYISHA COCKERHAM (NPI 1215826979) is an individual addiction (substance use disorder) provider in Winston Salem, North Carolina and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1215826979
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMYISHA COCKERHAM
Location Address1617 S HAWTHORNE RDWinston Salem, NC 27103-4127
Mailing Address1617 S Hawthorne RdWinston Salem, NC 27103-4127 · (336) 842-6980
Phone(336) 842-6980
Fax(336) 842-6980
Sole ProprietorYes
Enumeration DateJune 30, 2025
NPPES CertifiedJune 30, 2025
✔ NPI 1215826979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1617 S HAWTHORNE RD, Winston Salem, NC 27103
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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.

ALANNA DAWN SMITH LPN
Licensed Practical Nurse
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 842-6980
ATS OF NORTH CAROLINA, LLC
Clinic/Center (Methadone)
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 842-6980
JAMES MICHAEL THOMAS GROSS
Counselor (Addiction (Substance Use Disorder))
1617 S HAWTHORNE RD
WINSTON - SALEM, NC 27103
Forsyth County (833) 414-2657
WILMISHA DENISE MAY MPH, LPN
Licensed Practical Nurse
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 842-6980
JEANNE RUNYAN BS, CPSS
Peer Specialist
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 842-6980
LASHEHA COXTON CADC
Counselor (Addiction (Substance Use Disorder))
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 725-8389
REGINA JOHNSON
Licensed Practical Nurse
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 842-6980
DR. WILLIAM MARK SUTTLE DDS
Dentist (Periodontics)
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103
Forsyth County (336) 765-9224

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 Myisha Cockerham's NPI number?

The NPI number for Myisha Cockerham is 1215826979. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Myisha Cockerham located?

Myisha Cockerham practices at 1617 S Hawthorne Rd, Winston Salem, NC 27103. The listed phone number is (336) 842-6980.

What is Myisha Cockerham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Myisha Cockerham was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.