Cognitive Behavioral Health LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

003253 Issued in GA

Legal business name

COGNITIVE BEHAVIORAL HEALTH LLC

Practice address

5415 Thompson Mill Road Ste B
Dr Devin Vicknair
Hoschton, GA 30548

Phone

(770) 827-2262

Fax

(770) 783-8927

NPI assigned

Mar 10, 2007

Last updated

May 28, 2008By 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

Dr. Devin Vicknair, PHD LPCNPI 1639253818

Title

Owner

Phone

(770) 827-2262

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Devin Paige Vicknair, PHD LPC

  • Professional Counselor
  • Gainesville, GA
  • NPI 1639253818
  NPD (past) Authorized official

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1972635407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 MILL GROVE TER",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195019",
            "fax_number": "770-783-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 THOMPSON MILL ROAD STE B",
            "address_2": "DR DEVIN VICKNAIR",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "30548",
            "telephone_number": "770-827-2262",
            "fax_number": "770-783-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "VICKNAIR",
        "authorized_official_first_name": "DEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-827-2262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "003253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Navigating Family Change
• Child Abuse Prevention Alliance (Family Dimensions)
• Laverne Chin
• Dorrett Chonge, LMFT
• John Kenneth Clucas, PT, DPT
• Cynthia Collins, P.T.
• Delores Ann Combsbarnes, D.P.M.
• Alisha Conner, NP-C
• Robert Lee Cornett, PT
• Sarah Lynn Cornett, PT

• Counselor in Hoschton, GA
• Providers in Hoschton, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.