Cognitive Care LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

COGNITIVE CARE LLC

Practice address

1 Chick Springs Rd Ste 210a
Greenville, SC 29609-4971

Phone

(864) 569-7344

Fax

(864) 412-8516

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Crystal Ervin, LPCNPI 1790044915

Title

Ceo/Counselor

Phone

(864) 569-7344

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cognitive Care LLC Doing business as

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Ervin, LPC

  • Counselor
  • Greenville, SC
  • NPI 1790044915
  NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582588800000",
    "number": "1295369593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ASTERIA ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076326",
            "telephone_number": "864-569-7344",
            "fax_number": "864-412-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHICK SPRINGS RD STE 210A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296094971",
            "telephone_number": "864-569-7344",
            "fax_number": "864-412-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO/COUNSELOR",
        "authorized_official_telephone_number": "864-569-7344",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1961",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cognitivecare@live.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Chick Springs Rd Ste 210A",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296094971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Cognitive Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmen Maria Coello Amado
• Benton Edwards Cofer, M.D.
• Natalie Amidei Coffey
• Aly Coggins, M.S. CCC-SLP
• Brendan Patrick Cogley
• Cognitive Psychiatry Associates LLC
• Joshua Aaron Cohen, D.O.
• Xiomara Raquel Cohen, D.O.
• Kristie Nicole Cohens, MA
• Alexandru Ioan Cojanu, M.D.

• Counselor in Greenville, SC
• Providers in Greenville, SC by specialty
• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.