Active NPI
Jennifer Leigh Kogut, LPCA
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1174026314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A13638
- Practice address
- 6633 Fairview Rd
Charlotte, NC 28210-3321 - Phone
- (704) 366-1264
- NPI assigned
- Mar 14, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A13638 | NC | Primary |
Addresses
Primary practice location
6633 Fairview Rd
Charlotte, NC 28210-3321
Mailing address
6633 Fairview Rd
Charlotte, NC 28210-3321
Phone (704) 366-1264
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 |
|---|---|---|---|
| A13638 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frame of Mind Therapy PLLC | Current | Accepting new patients | |
| The Renfrew Centers, Inc. | Past | Accepting new patients | |
| The Renfrew Center of N. Carolina, LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Adult Mental Health Clinic/Center
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- NPI 1841497518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520985600000",
"number": "1174026314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6633 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103321",
"telephone_number": "704-366-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6633 FAIRVIEW RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103321",
"telephone_number": "704-366-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOGUT",
"first_name": "JENNIFER",
"middle_name": "LEIGH",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A13638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.