Cognitive Care Connect, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

COGNITIVE CARE CONNECT, PLLC

Practice address

1201 Texas St
Salem, VA 24153-5403

Phone

(678) 900-0308

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Michie Armell Bolden, PMHNP

Title

Owner

Phone

(678) 900-0308

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1386311272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TEXAS ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535403",
            "telephone_number": "678-900-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TEXAS ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535403",
            "telephone_number": "678-900-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE CARE CONNECT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "MICHIE",
        "authorized_official_middle_name": "ARMELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-900-0308",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Roberts Cockrell
• Sarah Davidson Cocowitch, LPC
• Laura Good Coffey
• Maurice E Coffey, M.D.
• Marsha R Coggins, LPTA
• Deborah Harris Coker, ED.S
• Eric Forest Collin, DO
• Gary Richard Collin, M.D.
• Miranda Collins, RBT
• Robert Frank Collins, PT

• Adult Mental Health Clinic/Center in Salem, VA
• Providers in Salem, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.