Organization Active NPI

Cognitive Connex Corporation

  • Mental Health Counselor
  • Denver, CO
National Provider Identifier
1063807063
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
NLC.0105234 Issued in CO
Legal business name
COGNITIVE CONNEX CORPORATION
Practice address
4163 S Zenobia St
Denver, CO 80236-3227
Phone
(720) 933-6410
NPI assigned
Apr 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel R Burge, PSYCHOTHERAPIST
Title
Psychotherapist
Phone
(720) 933-6410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X NLC.0105234 CO Primary

Addresses

Primary practice location

4163 S Zenobia St
Denver, CO 80236-3227

Mailing address

4163 S Zenobia St
Denver, CO 80236-3227
Phone (720) 933-6410

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1063807063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 S ZENOBIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363227",
            "telephone_number": "720-933-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 S ZENOBIA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802363227",
            "telephone_number": "720-933-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE CONNEX CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "BURGE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "720-933-6410",
        "authorized_official_credential": "PSYCHOTHERAPIST"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "NLC.0105234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.