COGNITIVE INSTITUTE INCORPORATED (NPI# 1790829646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790829646 |
| Entity Type | Organization |
| Organization Name | COGNITIVE INSTITUTE INCORPORATED |
| Practice Address |
809 Polk St Mansfield LA 71052 |
| Mailing Address |
809 Polk St Mansfield LA 71052-2413 |
| Practice Telephone | 3188715566 |
| Practice Fax Number | 3188711076 |
| Mailing Telephone | 3188715566 |
| Mailing Fax Number | 3188711076 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | MARLENA WILLIAMS (ADMINISTRATOR) |
| Authorized Official Telephone | 3186210910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
1544710 | LA | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | 2203783518 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1544710 | 05 | |
| LA | SUBMITTER NUMBER | 4503625 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6007 Financial Plz Ste 207, Shreveport, LA 711292662 | 3186210910 | 3186210918 |
| Street Address |
809 POLK ST |
| City | MANSFIELD |
| State | LA |
| Zip Code | 71052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053816793 | Kertrigus Lushun Thomas | Case Manager/Care Coordinator | 809 Polk St, Mansfield, LA 71052-2452 | 2018-03-26 |
| 1396247284 | Tiffany Nicole Toliver | Social Worker | 809 Polk St, Mansfield, LA 71052-2452 | 2018-03-06 |
| 1609306372 | Grace Mbenkum | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2017-06-15 |
| 1851820864 | Latitia Renee Mcdaniel | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2017-06-05 |
| 1558892323 | Lashonda Gray | Counselor | 809 Polk St, Mansfield, LA 71052 | 2017-03-23 |
| 1417406075 | Faith Alexander | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-09-23 |
| 1285182626 | Dominique Johnson | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-09-14 |
| 1861948143 | Mary James-thomas | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-08-28 |
| 1902266687 | Kimberly Pradia | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-02-24 |
| 1073971545 | Orlando Wade Mack | Counselor | 809 Polk St, Mansfield, LA 71052-2452 | 2016-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
| 1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
| 1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
| 1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
| 1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
| 1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
| 1144690645 | Edwina Elrod Eley | Nurse Practitioner | 7356 Highway 509, Mansfield, LA 71052 | 2015-09-28 |
| 1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
| 1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
| 1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
| Find all providers in zip 71052 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356899520 | Till Inc | Community/Behavioral Health | 272 Elm Ter, Mansfield, MA 02048-2641 | 2016-09-16 |
| 1952858169 | Volunteers of America | Community/Behavioral Health | 1915 Mcarthur Dr, Mansfield, LA 71052-4505 | 2016-09-06 |
| 1346694635 | Concern-professional Services for Children, Youth & Families | Community/Behavioral Health | 73 W Wellsboro St, Mansfield, PA 16933-1412 | 2016-04-22 |
| 1811362221 | Renee Wooster | Community/Behavioral Health | 609 Karlson Dr, Mansfield, OH 44904-1823 | 2015-12-10 |
| 1619358587 | G Tate and Associates,llc | Community/Behavioral Health | 423 Bowman St, Mansfield, OH 44903-1201 | 2015-06-16 |
| 1003202680 | Richland Co. Community Alternative Center | Community/Behavioral Health | 597 Park Ave E, Mansfield, OH 44905-2848 | 2015-04-10 |
| 1912272337 | Concern-professional Services for Children, Youth & Families | Community/Behavioral Health | 63 3rd St, Mansfield, PA 16933-1262 | 2012-03-19 |
| 1497044523 | Beyond Belief Healthcare Svcs. LLC | Community/Behavioral Health | 624 Hillcrest St, Mansfield, TX 76063-2163 | 2011-03-29 |
| 1003111675 | Healing Hearts Counseling Center | Community/Behavioral Health | 860 Lexington Ave, Mansfield, OH 44907-1996 | 2011-01-12 |
| 1659591949 | Tioga County Dept of Human Services | Community/Behavioral Health | St James & Third Street, St James Complex Suite 103a, Mansfield, PA 16933 | 2007-04-27 |
| Find all providers in MANSFIELD | ||||
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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.