Cognitive Footprints, Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

Legal business name

COGNITIVE FOOTPRINTS, INC

Practice address

Residence
7715 Aragorn Lane
Charlotte, NC 28212

Phone

(910) 726-5252

NPI assigned

Feb 3, 2021

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Parker, LCMHCNPI 1568860682

Title

Director/Founder

Phone

(704) 919-0161

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Lisa Yvette Parker, LCMHC, LPC

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1568860682
  NPD Authorized official

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1639760499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RESIDENCE",
            "address_2": "7715 ARAGORN LANE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28212",
            "telephone_number": "910-726-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RESIDENCE",
            "address_2": "7715 ARAGORN LANE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28212",
            "telephone_number": "910-726-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE FOOTPRINTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR/FOUNDER",
        "authorized_official_telephone_number": "704-919-0161",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Blair Huffman Coggin
• Melissa Yeung Coggin, FNP-C
• Benjamin L Coggins, CADC
• Kenneth G. Coggins, MD
• Melanie Coggins, MA, LCMHC, LCAS
• Cognizance Consulting, PLLC
• Cohen Care
• Angela T Cohen
• Arthur Robert Cohen, MD
• Belinda Joyce Cohen, NP

• Assisted Living Facility (Behavioral Disturbances) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Assisted Living Facility (Behavioral Disturbances) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.