1402 Cockrell LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Springfield, Illinois
1184590747- Practice location
- 4012 Cockrell Ln, Springfield, IL 62711-8327
- Phone
- 847-324-3543
- Fax
- —
- Last updated
- October 13, 2025
1402 Cockrell LLC is a healthcare organization based in Springfield, IL. The NPI number for 1402 Cockrell LLC is 1184590747. The current practice location address is 4012 Cockrell Ln, Springfield, IL 62711-8327 and the office can be reached by phone at 847-324-3543. The NPI was assigned on October 13, 2025 and the record was last updated in NPPES on October 13, 2025.
●Provider Profile Details
- NPI Number
- 1184590747
- Provider Name
- 1402 Cockrell LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Sariah Hopkins, CHC · Compliance Officer · 847-324-3543
- Enumeration Date
- October 13, 2025
- Last Update Date
- October 13, 2025
- Certification Date
- October 13, 2025
- NPI Status
- Active
- Other Names
- Duad Wellness (Doing Business As)
◉Business Practice Location Address
- Address
- 4012 Cockrell Ln
Springfield, IL 62711-8327 - City
- Springfield
- State
- Illinois
- ZIP
- 62711-8327
- Country
- US
- Phone Number
- 847-324-3543
✉Business Mailing Address
- Address
- 6317 N Monticello Ave
Chicago, IL 60659-1209 - City
- Chicago
- State
- IL
- ZIP
- 60659-1209
- Phone Number
- 847-324-3543
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinic/Center, Adult Mental Health | 261QM0850X | No | — | — |
| Clinic/Center, Rehabilitation, Substance Use Disorder | 261QR0405X | No | — | — |
| Community/Behavioral Health | 251S00000X | No | — | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Springfield →?Frequently Asked Questions
What is the NPI number of 1402 Cockrell LLC?
The NPI number of 1402 Cockrell LLC is 1184590747. It was assigned on October 13, 2025 and is currently active in the NPPES registry.
What is the specialty of 1402 Cockrell LLC?
1402 Cockrell LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does 1402 Cockrell LLC practice?
The practice location is 4012 Cockrell Ln, Springfield, IL 62711-8327. The office can be reached at 847-324-3543 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184590747 directly on the NPPES registry website at npiregistry.cms.hhs.gov.