BRITTANNI KORYN COGDELL (NPI# 1982956181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982956181 |
| Entity Type | Individual |
| Full Name | BRITTANNI KORYN COGDELL |
| Credential | LPC,MA,BA |
| Practice Address |
142 Griggs St Therapeutic Shelter Waterbury CT 06704-3110 |
| Mailing Address |
141 E Main St 4th Floor Administration Waterbury CT 06702-2310 |
| Practice Telephone | 2035743311 |
| Practice Fax Number | 2035743315 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2015-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2716 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | PENDING | 05 | |
| CAQH | PENDING | 01 | |
| CT | OPTUM BEHAVIORAL HEALTH | PENDING | 01 |
| CT | AETNA BEHAVIORAL HEALTH | PENDING | 01 |
| CT | CIGNA BEHAVIORAL HEALTH | PENDING | 01 |
| CT | MHN MANAGED HEALTH NETWORK | PENDING | 01 |
| Street Address |
142 GRIGGS ST THERAPEUTIC SHELTER |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609098193 | Michael E Garrard | Counselor | 142 Griggs St, Waterbury, CT 06704-3110 | 2007-05-03 |
| 1629678552 | Kenny Perez | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2020-10-29 |
| 1821602772 | Paul Robinson | Social Worker | 142 Griggs St, Waterbury, CT 06704-3110 | 2020-09-08 |
| 1215549506 | Desiree Herens | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2020-08-19 |
| 1558918862 | Mackenzie Smith | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2019-08-21 |
| 1144876152 | Dawn Engelhard | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2019-08-15 |
| 1144727793 | Jacqueline Dicandia | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2018-04-10 |
| 1316461015 | Amanda Lebron | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2017-08-03 |
| 1093117772 | Monique Dagraca | Community Health Worker | 142 Griggs St, Therapeutic Shelter, Waterbury, CT 06704-3110 | 2014-09-24 |
| 1376960724 | Michael G Soneson | Social Worker | 142 Griggs St, Waterbury, CT 06704-3110 | 2014-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725510 | Bianca Mcdaniel | Counselor | 1652 Meriden Rd Apt 22, Waterbury, CT 06705-3922 | 2020-09-20 |
| 1902426232 | Jesse D Miller | Counselor | 62 Newton Ter, Waterbury, CT 06708-1919 | 2020-04-16 |
| 1770116832 | Laurie Joy Sharp | Counselor | Mindscapes Counseling LLC, 230 Frost Rd, Waterbury, CT 06705-2154 | 2020-02-18 |
| 1124658489 | Elaina Nicole Layden | Counselor | 276 Highland Ave Ste 2n, Waterbury, CT 06708-3022 | 2020-01-24 |
| 1063054666 | Malina Yuna Choi | Counselor | 255 Bank St Fl 4, Waterbury, CT 06702-2219 | 2019-10-15 |
| 1093205692 | Footsteps LLC | Counselor | 1059 Huntingdon Ave, Waterbury, CT 06704-1402 | 2018-05-18 |
| 1316486889 | Cornerstone Counseling Center | Counselor | 106 Deepwood Dr, Waterbury, CT 06708-2907 | 2017-02-16 |
| 1356886014 | Kathryn Gelinas | Counselor | 60 N Main St Fl 3, Waterbury, CT 06702-1444 | 2017-01-04 |
| 1376901124 | Jesse Mancinone | Counselor | 55 Waterville St, Waterbury, CT 06710-1846 | 2016-02-08 |
| 1356742662 | Waleska Castillo | Counselor | 672 Wilson St, Waterbury, CT 06708-4131 | 2014-09-07 |
| Find all providers in WATERBURY | ||||
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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.