Active NPI
Cognicounseling
- Adult Mental Health Clinic/Center
- Concord, MA
National Provider Identifier
1821586033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 000009167
- Legal business name
- COGNICOUNSELING
- Practice address
- 747 Main St
Concord, MA 01742-3302 - Phone
- (617) 785-8192
- NPI assigned
- Apr 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joe Russella Pollard
- Title
- Owner
- Phone
- (617) 785-8192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 000009167 | MA | Primary |
Addresses
Primary practice location
747 Main St
Concord, MA 01742-3302
Mailing address
60 Willow St
Acton, MA 01720-2710
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524528000000",
"number": "1821586033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 WILLOW ST",
"city": "ACTON",
"state": "MA",
"postal_code": "017202710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 MAIN ST",
"city": "CONCORD",
"state": "MA",
"postal_code": "017423302",
"telephone_number": "617-785-8192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COGNICOUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-24",
"last_updated": "2018-04-24",
"status": "A",
"authorized_official_last_name": "RUSSELLA POLLARD",
"authorized_official_first_name": "JOE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-785-8192"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "MA",
"license": "000009167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.