Active NPI
Cognitive Connection Corporation
- Community/Behavioral Health Agency
- Conover, NC
National Provider Identifier
1073865853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COGNITIVE CONNECTION CORPORATION
- Practice address
- 4330 Viola Sipe Dr
Conover, NC 28613-8839 - Phone
- (828) 256-3436
- NPI assigned
- Oct 4, 2012
- Last updated
- Jul 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Smith
- Title
- Cfo
- Phone
- (828) 256-3436
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MHL018056 | NC | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MHL018056 | NC | |
| Mental Health Counselor | 101YM0800X | MHL018056 | NC | |
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
4330 Viola Sipe Dr
Conover, NC 28613-8839
Mailing address
4330 Viola Sipe Dr
Conover, NC 28613-8839
Phone (828) 256-3436
Other practice location 1
1109 2nd Ave SW
Hickory, NC 28602-2545
Phone (828) 327-6026 ext. 223
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564358400000",
"number": "1073865853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 VIOLA SIPE DR",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138839",
"telephone_number": "828-256-3436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 VIOLA SIPE DR",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138839",
"telephone_number": "828-256-3436"
}
],
"practiceLocations": [
{
"address_1": "1109 2nd Ave SW",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286022545",
"country_code": "US",
"telephone_number": "828-327-6026 x223",
"fax_number": "828-327-8796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COGNITIVE CONNECTION CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-04",
"last_updated": "2019-07-29",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "828-256-3436"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "MHL018056",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "MHL018056",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "MHL018056",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conover, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.