Organization Active NPI

Cognitive Care and Consulting, LLC

  • Speech-Language Pathologist
  • Jacksonville, FL
National Provider Identifier
1033005293
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
COGNITIVE CARE AND CONSULTING, LLC
Practice address
1812 Tea Olive CT
Jacksonville, FL 32225-5373
Phone
(765) 749-3916
NPI assigned
Jun 16, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Courtney McGill, M.A. CCC-SLPNPI 1386898930
Title
Ceo
Phone
(765) 749-3916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1812 Tea Olive CT
Jacksonville, FL 32225-5373

Mailing address

1812 Tea Olive CT
Jacksonville, FL 32225-5373
Phone (765) 749-3916

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2025.

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1033005293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 TEA OLIVE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255373",
            "telephone_number": "765-749-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 TEA OLIVE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255373",
            "telephone_number": "765-749-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE CARE AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "MCGILL",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-749-3916",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.