Organization Active NPI

Cognitive Change, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, NE
National Provider Identifier
1841789070
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COGNITIVE CHANGE, LLC
Practice address
770 N Cotner Blvd Ste 328
Lincoln, NE 68505-2344
Phone
(402) 286-2754
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Authorized official

Name
Mary Kathyrn Ogle, MSW, LIMHPNPI 1639329477
Title
Owner
Phone
(402) 286-2754

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

770 N Cotner Blvd Ste 328
Lincoln, NE 68505-2344

Mailing address

770 N Cotner Blvd Ste 328
Lincoln, NE 68505-2344
Phone (402) 286-2754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180716000881 NE Part B Supplier - Clinic/Group Practice 6204183726 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

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": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525305600000",
    "number": "1841789070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 328",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052344",
            "telephone_number": "402-286-2754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 328",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052344",
            "telephone_number": "402-286-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A",
        "authorized_official_last_name": "OGLE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHYRN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-286-2754",
        "authorized_official_credential": "MSW, LIMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.