COGNITIVE DEVELOPMENT CENTER (NPI# 1013466051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013466051 |
| Entity Type | Organization |
| Organization Name | COGNITIVE DEVELOPMENT CENTER |
| Practice Address |
316 Woodale Dr Apt 11 Monroe LA 71203-2712 |
| Practice Telephone | 3186006045 |
| Mailing Telephone | 3186006045 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Authorized Official Name | CHELLCY JACKSON (MHP) |
| Authorized Official Telephone | 3184180329 |
| Authorized Official Credential | M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538236328 | Cognitive Development Center | Community/Behavioral Health | 201 S Walnut St, Tallulah, LA 71282-4237 | 2006-11-29 |
| 1467559690 | Cognitive Development Center | Counselor | 1816 Roselawn Ave, Monroe, LA 71201-5434 | 2006-09-20 |
| 1235660135 | Cognitive Development Center | Counselor | 4951 Central Ave, Monroe, LA 71203-6156 | 2017-03-22 |
| 1609247907 | Cognitive Development Center | Counselor | 1705 Felicia Ave, Tallulah, LA 71282-8203 | 2015-10-13 |
| 1962622290 | Cognitive Development Center | Day Training, Developmentally Disabled Services | 1811 Roselawn Ave, Monroe, LA 71201-5433 | 2007-04-27 |
| 1871713107 | Cognitive Development Center | Day Training, Developmentally Disabled Services | 1811 Roselawn Ave, Monroe, LA 71201-5433 | 2007-04-27 |
| 1124247945 | Cognitive Development Center | Day Training, Developmentally Disabled Services | 1811 Roselawn Ave, Monroe, LA 71201-5433 | 2007-04-24 |
| 1508984469 | Cognitive Development Center | Day Training, Developmentally Disabled Services | 1811 Roselawn Ave, Monroe, LA 71201-5433 | 2007-03-27 |
| 1124146089 | Cognitive Development Center | Day Training, Developmentally Disabled Services | 1811 Roselawn Ave, Monroe, LA 71201-5433 | 2007-03-27 |
| Street Address |
316 WOODALE DR APT 11 |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104025857 | New Horizons | Preferred Provider Organization | 2406 Ferrard Atreet, Suite 18, Monroe, LA 71201 | 2007-07-13 |
| 1902004849 | New Horizons | Preferred Provider Organization | 2406 Ferrand Street, Suite 18, Monroe, LA 71201 | 2007-07-03 |
| 1689791915 | D & D Community Connections | Preferred Provider Organization | 1041 N 9th St, Monroe, LA 71201-5548 | 2007-03-23 |
| 1235678715 | M&m Serenity Adult Day Care | Preferred Provider Organization | 501 Deese St, Monroe, NC 28112-5003 | 2017-02-17 |
| 1619206026 | Lemico | Preferred Provider Organization | 3001 Armand St, Monroe, LA 71201-3754 | 2009-12-14 |
| 1861621237 | Lemico Inc | Preferred Provider Organization | 3001 Armand St, Monroe, LA 71201-3754 | 2009-07-07 |
| 1841431228 | At Home Assisted Care,llc | Preferred Provider Organization | 1401 Hudson Ln, Suite 206, Monroe, LA 71201-6068 | 2009-03-16 |
| 1821236415 | At Home Assisted Care LLC | Preferred Provider Organization | 1401 Hudson Ln, Suite 206, Monroe, LA 71201-6068 | 2009-02-04 |
| 1225293319 | At Home Assisted Care, LLC | Preferred Provider Organization | 1401 Hudson Ln, Suite 206, Monroe, LA 71201-6068 | 2008-07-28 |
| 1578733580 | D & D Community Connections | Preferred Provider Organization | 1041 N 9th St, Monroe, LA 71201-5548 | 2008-03-05 |
| Find all providers in MONROE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.