GLEN COGNAC (NPI# 1669896056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669896056 |
| Entity Type | Individual |
| Full Name | GLEN COGNAC |
| Credential | MSW |
| Practice Address |
11460 N 53rd St Tampa FL 33617-2216 |
| Mailing Address |
30517 Midtown Ct Wesley Chapel FL 33545-1355 |
| Practice Telephone | 8133042296 |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
11460 N 53RD ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33617-2216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871921155 | Lourdes Tejeda | Counselor | 11460 N 53rd St, Tampa, FL 33617-2216 | 2013-10-23 |
| 1386069698 | Jordan Howell | Social Worker | 11460 N 53rd St, Tampa, FL 33617-2216 | 2014-02-24 |
| 1043633175 | Cassandra N Gade | Social Worker | 11460 N 53rd St, Tampa, FL 33617-2216 | 2014-01-24 |
| 1083045389 | Randi Redmon | Counselor | 11460 N 53rd St, Tampa, FL 33617-2216 | 2013-12-12 |
| 1821426123 | Lauren Baer | Counselor | 11460 N 53rd St, Tampa, FL 33617-2216 | 2013-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253195 | Kare Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 7860 North 56th Street, Tampa, FL 33617 | 2020-04-10 |
| 1942840467 | Care Medrx LLC | Pharmacy | 311 Bullard Pkwy Ste. B, Temple Terrace, FL 33617 | 2020-01-13 |
| 1467004804 | Favorite Care Services, LLC | In Home Supportive Care | 7628 N 56th St Ste 2, Tampa, FL 33617 | 2019-07-16 |
| 1982265625 | Promise Home Care Agency LLC | In Home Supportive Care | 315 Bahamas Ave, Tampa, FL 33617 | 2019-06-24 |
| 1164912754 | Superior Physician Group | Pain Medicine | 10730 N 56th St Ste 209, Temple Terrace, FL 33617 | 2018-05-18 |
| 1346738796 | Advanced Pain Management and Anesthesiology | Clinic/Center | 4209 E. Busch Blvd, Tampa, FL 33617 | 2018-05-01 |
| 1184112427 | Imperial Connections Support Programs, LLC | In Home Supportive Care | 9806 N Connechusett Rd, Tampa, FL 33617 | 2018-04-23 |
| 1609394204 | Erin E Sleeper | Behavior Technician | 418 Belle Claire Ave, Temple Terrace, FL 33617 | 2017-09-03 |
| 1720504293 | Robin A Kelly | Nurse's Aide | 7523 Pitch Pine Circle, Apt B, Tampa, FL 33617 | 2017-08-16 |
| 1174046023 | Rishita Amish Patel | Pharmacist | 532 Heritage Brook Cir, Apt #101, Temple Terrace, FL 33617 | 2017-07-24 |
| Find all providers in zip 33617 | ||||
| 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 |
|---|---|---|---|---|
| 1417514720 | Four Winds Counseling LLC | Counselor | 611 West Bay Street, Tampa, FL 33606 | 2019-05-22 |
| 1760943971 | Mario K Lovett Sr. | Counselor | 5135 W Cypress St Ste 103, Tampa, FL 33607-1731 | 2019-03-29 |
| 1184183410 | Rachel Hernandez | Counselor | 6535 Spanish Moss Cir, Tampa, FL 33625-6513 | 2019-03-16 |
| 1861970048 | Guided Path Foundation | Counselor | 2801 W Waters Ave Ste C, Tampa, FL 33614-1866 | 2018-07-31 |
| 1629562095 | Kross Industries | Counselor | 6411 Santa Monica Dr, Tampa, FL 33615-3347 | 2018-06-19 |
| 1215486709 | Marlie Gonzalez | Counselor | 6818 Mitchell Cir, Tampa, FL 33634-2938 | 2016-09-26 |
| 1780138933 | Cynthia Smith | Counselor | 13935 River Willow Pl, Tampa, FL 33637-1010 | 2016-08-04 |
| 1922453406 | Christine Gregory Campos | Counselor | 9225 Bay Plaza Blvd Ste 418, Tampa, FL 33619-4412 | 2016-05-03 |
| 1518311398 | Ireboot, LLC | Counselor | 4511 N Himes Ave Ste 200, Tampa, FL 33614-7085 | 2016-04-19 |
| 1417317686 | Bruno Nze | Counselor | 10354 Carrollwood Ln Apt 197, Tampa, FL 33618-4721 | 2016-03-02 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on GLEN COGNAC.
| 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.