Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trace Elling-Cockerell

Individual provider Peer Specialist · NPI 1699669887

Trace Elling-Cockerell is a Peer Specialist in Youngstown, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1319 Florencedale Ave
Youngstown, OH 44505-2712
Phone: (330) 743-4673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCAPRE.196429 (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.006475 (OH)

Record details

NPI number1699669887
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address1319 Florencedale Ave, Youngstown, OH 44505-2712

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