Organization Active NPI

Cognitive Homeostasis, LLC.

Doing business as Cog Home

  • Community/Behavioral Health Agency
  • Liberty TWP, OH
National Provider Identifier
1790570182
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COGNITIVE HOMEOSTASIS, LLC.
Doing business as
Cog Home
Practice address
6590 Willow Dale CT
Liberty TWP, OH 45011-9076
Phone
(513) 549-7414
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Kadori Ngirabakunzi Marshall, DNP, APRN-CNP, PMHNPNPI 1649882200
Title
Psychiatric Mental Health NP
Phone
(513) 549-7414

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 Primary

Addresses

Primary practice location

6590 Willow Dale CT
Liberty TWP, OH 45011-9076

Mailing address

6590 Willow Dale CT
Liberty TWP, OH 45011-9076
Phone (513) 549-7414

Other names 1

  • COG HOME Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260223000782 OH Part B Supplier - Clinic/Group Practice 4385130038 Receives reassigned benefits from 1 practitioner
Practice locations: Liberty TWP, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1790570182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6590 WILLOW DALE CT",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450119076",
            "telephone_number": "513-549-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6590 WILLOW DALE CT",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450119076",
            "telephone_number": "513-549-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE HOMEOSTASIS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KADORI",
        "authorized_official_middle_name": "NGIRABAKUNZI",
        "authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
        "authorized_official_telephone_number": "513-549-7414",
        "authorized_official_credential": "DNP, APRN-CNP, PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COG HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.