COGNITIVE CONNECTIONS DIAGNOSTIC AND COUNSELING, LLC (NPI# 1083191589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083191589 |
| Entity Type | Organization |
| Organization Name | COGNITIVE CONNECTIONS DIAGNOSTIC AND COUNSELING, LLC |
| Practice Address |
5877 Livernois Rd Ste 104 Troy MI 48098-3100 |
| Practice Telephone | 3135500847 |
| Mailing Telephone | 3129140611 |
| Mailing Fax Number | 3129290324 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | JENIFER MUZER (GENERAL MANAGER) |
| Authorized Official Telephone | 3129140611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
5877 LIVERNOIS RD STE 104 |
| City | TROY |
| State | MI |
| Zip Code | 48098-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1134760135 | Salvina Tirone | Behavior Technician | 5877 Livernois Rd Ste 104, Troy, MI 48098-3100 | 2019-10-01 |
| 1720635857 | Melissa Kimberly Porembiak | Behavior Technician | 5877 Livernois Rd Ste 104, Troy, MI 48098-3100 | 2019-08-22 |
| 1912550187 | Karoline Kenville | Behavioral Analyst | 5877 Livernois Rd Ste 104, Troy, MI 48098-3100 | 2019-07-17 |
| 1386206142 | James J. Davis IIi | Behavior Technician | 5877 Livernois Rd Ste 104, Troy, MI 48098-3100 | 2019-07-02 |
| 1760951578 | Lauren Brower | Behavior Technician | 5877 Livernois Rd Ste 104, Troy, MI 48098-3100 | 2018-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
| 1649423302 | Advanced Therapy Services, Inc | Physical Therapist | 115 E Long Lake Rd., Troy, MI 48098 | 2008-10-28 |
| Find all providers in zip 48098 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746601 | Cathleen Burks | Counselor | 384 Rockport Dr, Troy, MO 63379 | 2020-10-08 |
| 1821611336 | Lakeisha E Goshea | Counselor | 215 Falcon Dr, Troy, AL 36079-5916 | 2020-05-19 |
| 1760019020 | Ryan Taylor | Counselor | 305 Public Sq Ste 2, Troy, OH 45373-3894 | 2020-03-26 |
| 1912534843 | Barbara A Maynard | Counselor | 1503 Massachusetts Ave, Troy, NY 12180-1718 | 2020-03-23 |
| 1144868316 | Erin Joy Mercer | Counselor | 3101 Caswell Dr, Troy, MI 48084-1275 | 2019-12-18 |
| 1063059707 | You Matter Therapy Services Pplc | Counselor | 2888 E. Long Lake Suite 130, Troy, MI 48085-3793 | 2019-12-02 |
| 1336790617 | Kari Elizabeth Regehr | Counselor | 317 Ray Ave, Troy, AL 36081-3828 | 2019-09-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1528566189 | Janet Langtry | Counselor | 5153 Hale Dr, Troy, MI 48085-3401 | 2018-01-30 |
| 1306361423 | Amber Throgmorton | Counselor | 117 Absolut Ln, Troy, MO 63379-5748 | 2017-08-09 |
| Find all providers in TROY | ||||
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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.