Cognitive Behavior Champions LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COGNITIVE BEHAVIOR CHAMPIONS LLC

Doing business as

Center of Healing of Orlando
Cognitive Behavior Champions LLC

Practice address

855 Outer Rd
Orlando, FL 32814-6652

Phone

(407) 247-2933

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By 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

Solomon Richberg, LCSW

Title

Ceo

Phone

(407) 247-2933

Specialties & licenses 1

Addresses

Other names 2

• Center of Healing of Orlando Doing business as
• Cognitive Behavior Champions LLC Doing business as

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1891565156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 OUTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-247-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 OUTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-247-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIOR CHAMPIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "RICHBERG",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-247-2933",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center of Healing of Orlando",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cognitive Behavior Champions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory J Coffman, MD
• Melita Cogburn, B.S., M.A., LMHC
• Cogent Healthcare of Pensacola LLC
• Cogent Healthcare of Pensacola LLC
• Amanda Waleska Coggins, COTA/L
• Cognitive Behavioral Therapy of South Florida PLLC (Cognitive Behavioral Therapy of Central Florida)
• Cognitive Health Solutions LLC
• Daniel Dyer Cohen, PA-C
• Jeffrey Mark Cohen, MD
• Kristen Cohen, PTA

• Clinical Social Worker in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.