Mitchell Cogan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3TP12-009 Issued in NJ

Practice address

1637 Poplar St Apt 6F
Philadelphia, PA 19130-1755

Phone

(856) 425-2942

NPI assigned

Aug 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1619225000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 POPLAR ST APT 6F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301755",
            "telephone_number": "856-425-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 POPLAR ST APT 6F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191301755",
            "telephone_number": "856-425-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGAN",
        "first_name": "MITCHELL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-16",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "3TP12-009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Coffin, LBS
• Edward Charles Coffin, RD, RDN
• Susan E Coffin, M.D.
• Marta Kristina Cofone, NCC
• Ali Cogan, M.S. CCC-SLP
• Molly Cogan
• Richard Cogan, MS, CRNA
• Cogent Healthcare of Pennsylvania, Inc.
• Sarah Coggins, M.D.
• David Cognetti, MD

• Marriage & Family Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Marriage & Family Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.