NPIMap

Organization Active NPI

Cognitive Organics LLC

  • Community/Behavioral Health Agency
  • Bolivar, OH
National Provider Identifier
1609493097
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COGNITIVE ORGANICS LLC
Practice address
256 Poplar St NW
Bolivar, OH 44612-9209
Phone
(614) 610-1396
NPI assigned
Jul 1, 2020
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Sarah A Downes, LPCC-SNPI 1861944530
Title
Owner
Phone
(614) 929-6346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

256 Poplar St NW
Bolivar, OH 44612-9209

Mailing address

256 Poplar St NW
Bolivar, OH 44612-9209
Phone (614) 610-1396

Other practice location 1

300 E Business Way Ste 200-2465
Cincinnati, OH 45241-2384
Phone (614) 610-1396

Other identifiers 1

IdentifierTypeStateIssuer
0424224MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231227000335 OH Part B Supplier - Clinic/Group Practice 8325498868 Receives reassigned benefits from 18 practitioners
1 other NPI on this enrollment
Practice locations: Bolivar, OH; Coshocton, OH; Uhrichsville, OH; Zoarville, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cognitive Organics LLC3 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.

Locations

300 E Business Way
Ste 2002465
Cincinnati, OH 45241
Phone (614) 610-1396

1067 N 21st St
Newark, OH 43055
Phone (614) 610-1396

2637 Tusky Valley Rd NE
Zoarville, OH 44656
Phone (330) 866-0303

263 Rainbow Dr
#16343
Livingston, TX 77399

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1609493097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 POPLAR ST NW",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446129209",
            "telephone_number": "614-610-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 POPLAR ST NW",
            "city": "BOLIVAR",
            "state": "OH",
            "postal_code": "446129209",
            "telephone_number": "614-610-1396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Business Way Ste 200-2465",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452412384",
            "country_code": "US",
            "telephone_number": "614-610-1396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COGNITIVE ORGANICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-01",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-929-6346",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424224",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolivar, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.