NPIMap

Organization Active NPI

Cognitive Development Center

  • Mental Health Counselor
  • Monroe, LA
National Provider Identifier
1467559690
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ADC 11719 Issued in LA
Legal business name
COGNITIVE DEVELOPMENT CENTER
Practice address
1816 Roselawn Ave
Monroe, LA 71201-5434
Phone
(318) 387-1304
Fax
(318) 387-1306
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Adrian Fisher
Title
Director
Phone
(318) 387-1304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X ADC 11719 LA Primary

Addresses

Primary practice location

1816 Roselawn Ave
Monroe, LA 71201-5434

Mailing address

PO Box 7563
Monroe, LA 71211-7563
Phone (318) 387-1304

Other identifiers 1

IdentifierTypeStateIssuer
1626139MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Cognitive Development Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467559690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7563",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712117563",
            "telephone_number": "318-387-1304",
            "fax_number": "318-387-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 ROSELAWN AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015434",
            "telephone_number": "318-387-1304",
            "fax_number": "318-387-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-387-1304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "ADC 11719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1626139",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.