1. Home
  2. Directory
  3. California
  4. Antioch
  5. Counselor
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. HOLLIS MALVARD COOKSEY IV
NPI 1396655189
Counselor - Addiction (Substance Use Disorder) in Antioch, CA

Active since September 11, 2026
2108 SAN SIMEON CT, ANTIOCH, CA 94509(510) 582-2100 Get Directions Write a Review

NPPES record added: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Hollis Malvard Cooksey Iv NPPES

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

MR. HOLLIS MALVARD COOKSEY IV (NPI 1396655189) is an individual addiction (substance use disorder) provider in Antioch, California and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1396655189
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. HOLLIS MALVARD COOKSEY IV
Location Address2108 SAN SIMEON CTAntioch, CA 94509-5854
Mailing Address2108 San Simeon CtAntioch, CA 94509-5854 · (510) 582-2100
Phone(510) 582-2100
Sole ProprietorNo
Enumeration DateSeptember 11, 2026
NPPES CertifiedSeptember 11, 2026
✔ NPI 1396655189 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
2108 SAN SIMEON CT, Antioch, CA 94509
Open in Google Maps ↗

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 Hollis Cooksey's NPI number?

The NPI number for Hollis Cooksey is 1396655189. It was assigned to this individual provider in the NPPES registry on September 11, 2026.

Where is Hollis Cooksey located?

Hollis Cooksey practices at 2108 San Simeon Ct, Antioch, CA 94509. The listed phone number is (510) 582-2100.

What is Hollis Cooksey'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 Hollis Cooksey was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.