Active NPI
Jennifer G Cogan, LCMHC
- Mental Health Counselor
- Portsmouth, NH
National Provider Identifier
1417104852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 608
- Practice address
- 330 Borthwick Ave
Suite 101
Portsmouth, NH 03801-4174 - Phone
- (603) 433-8434
- Fax
- (603) 436-6608
- NPI assigned
- Aug 27, 2008
- 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 | 608 | NH | Primary |
Addresses
Primary practice location
330 Borthwick Ave
Suite 101
Portsmouth, NH 03801-4174
Mailing address
330 Borthwick Ave
Suite 101
Portsmouth, NH 03801-4174
Phone (603) 433-8434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30427099 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 22, 2024 through Jan 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 608 | NH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235606400000",
"number": "1417104852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 BORTHWICK AVE",
"address_2": "SUITE 101",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014174",
"telephone_number": "603-433-8434",
"fax_number": "603-436-6608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BORTHWICK AVE",
"address_2": "SUITE 101",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038014174",
"telephone_number": "603-433-8434",
"fax_number": "603-436-6608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGAN",
"first_name": "JENNIFER",
"middle_name": "G",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2009-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30427099",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.