NPIMap

Organization Active NPI

Cognitive Development Center

  • Professional Counselor
  • Tallulah, LA
National Provider Identifier
1609247907
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2930 Issued in LA
Legal business name
COGNITIVE DEVELOPMENT CENTER
Practice address
1705 Felicia Ave
Tallulah, LA 71282-8203
Phone
(318) 574-1232
Fax
(318) 574-8646
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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) 614-7644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2930 LA Primary

Addresses

Primary practice location

1705 Felicia Ave
Tallulah, LA 71282-8203

Mailing address

1705 Felicia Ave
Tallulah, LA 71282-8203
Phone (318) 574-1232

National Provider Directory

National Provider Directory
Tax ID family
Cognitive Development Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1609247907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FELICIA AVE",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712828203",
            "telephone_number": "318-574-1232",
            "fax_number": "318-574-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FELICIA AVE",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712828203",
            "telephone_number": "318-574-1232",
            "fax_number": "318-574-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-614-7644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallulah, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.