Organization Active NPI

Cognitive Connections Diagnostic and Counseling, LLC

  • Counselor
  • Troy, MI
National Provider Identifier
1083191589
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
COGNITIVE CONNECTIONS DIAGNOSTIC AND COUNSELING, LLC
Practice address
5877 Livernois Rd Ste 104
Troy, MI 48098-3100
Phone
(313) 550-0847
NPI assigned
Jul 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Jenifer Muzer
Title
General Manager
Phone
(312) 914-0611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

5877 Livernois Rd Ste 104
Troy, MI 48098-3100

Mailing address

5877 Livernois Rd Ste 104
Troy, MI 48098-3100
Phone (312) 914-0611

National Provider Directory

National Provider Directory

Locations

5877 Livernois Rd
Ste 104
Troy, MI 48098
Phone (248) 422-6902

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1083191589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5877 LIVERNOIS RD STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983100",
            "telephone_number": "312-914-0611",
            "fax_number": "312-929-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 LIVERNOIS RD STE 104",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480983100",
            "telephone_number": "313-550-0847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE CONNECTIONS DIAGNOSTIC AND COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "MUZER",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "312-914-0611"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.