Active NPI
Jeffrey M Cohen, LPC
- Professional Counselor
- Rolla, MO
National Provider Identifier
1780724534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2004005226
- Practice address
- 1202 Homelife PLZ
Rolla, MO 65401-2512 - Phone
- (573) 578-5497
- NPI assigned
- Feb 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2004005226 | MO | Primary |
Addresses
Primary practice location
1202 Homelife PLZ
Rolla, MO 65401-2512
Mailing address
PO Box 1033
Rolla, MO 65402-1033
Phone (573) 578-5497
Other names 1
- Jeffrey M Cohen, LPC, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2024 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004005226 | MO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1780724534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1033",
"city": "ROLLA",
"state": "MO",
"postal_code": "654021033",
"telephone_number": "573-578-5497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 HOMELIFE PLZ",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012512",
"telephone_number": "573-578-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "JEFFREY",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2004005226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEFFREY",
"last_name": "COHEN, LPC, LLC",
"middle_name": "M",
"credential": "MDIV., LPC",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.