Active NPI
Lora Cogliani, LAC
- Mental Health Counselor
- Phoenix, AZ
National Provider Identifier
1164810222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15183
- Practice address
- 2120 N Central Ave
Phoenix, AZ 85004-1455 - Phone
- (602) 271-4500
- Fax
- (602) 258-0102
- NPI assigned
- Dec 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15183 | AZ | Primary |
Addresses
Primary practice location
2120 N Central Ave
Phoenix, AZ 85004-1455
Mailing address
2120 N Central Ave
Phoenix, AZ 85004-1455
Phone (602) 271-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15183 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419379200000",
"number": "1164810222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041455",
"telephone_number": "602-271-4500",
"fax_number": "602-258-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041455",
"telephone_number": "602-271-4500",
"fax_number": "602-258-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGLIANI",
"first_name": "LORA",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-24",
"last_updated": "2014-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "15183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.