Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376908962 Individual Practitioner Male Practitioner

Keith Cockle

Peer Specialist • Grove, OK

Professional Overview & Biography Verified Profile Summary

Keith Cockle is a registered healthcare professional specializing in Peer Specialist in Grove, OK. Practice services are available at 1115 HARBOR RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1115 Harbor Rd

Grove, OK 743443505

Telephone 9187864434
Fax 9187864435
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Grove, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Grove, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OK 129951

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sheri Thomas

Case Manager/Care Coordinator

NPI 1003360017
James Walls

Counselor - Mental Health

NPI 1013316314
Kalynn Payne

Case Manager/Care Coordinator

NPI 1013588375
Joshua Ramos

Case Manager/Care Coordinator

NPI 1033031570
Denise Whipkey

Case Manager/Care Coordinator

NPI 1033646039
Jaquelynn Wood

Registered Nurse

NPI 1043726706

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2017

Registered at 1115 HARBOR RD, GROVE, OK 743443505 (Tel: 9187864434)

📍
Updated Business Mailing Address April 10, 2017

Registered at 1115 HARBOR RD, GROVE, OK 743443505 (Tel: 9187864434)

👤
Provider Name / Credentials Updated April 10, 2017

Recorded as KEITH COCKLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2017

Peer Specialist (License #129951 in OK)

NPI Profile Active December 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2015

Registered at 32600 S. 625 ROAD, GROVE, OK 74344 (Tel: 9187862930)

📍
Updated Business Mailing Address December 23, 2015

Registered at PO BOX 451585, GROVE, OK 743451585 (Tel: 9187862930)

👤
Provider Name / Credentials Updated December 23, 2015

Recorded as KEITH COCKLE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2015

Counselor

🟢
Initial NPI Registration & Enumeration December 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376908962
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2015
Last Update: April 10, 2017
Sole Proprietor: No

Mailing Address

1115 Harbor Rd

Grove, OK 743443505

Phone: 9187864434

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.