| Cognitive Organics Llc | |
|
300 E Business Way Ste 200-2465 Cincinnati OH 45241-2384 | |
| (614) 610-1396 | |
| Not Available |
| Full Name | Cognitive Organics Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 300 E Business Way Ste 200-2465, Cincinnati, Ohio |
| Authorized Official Name and Position | Sarah A Melton (OWNER) |
| Authorized Official Contact | 6149296346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Organics Llc 263 Rainbow Dr # 16343 Livingston TX 77399-2063 Ph: (614) 610-1396 | Cognitive Organics Llc 300 E Business Way Ste 200-2465 Cincinnati OH 45241-2384 Ph: (614) 610-1396 |
| NPI Number | 1609493097 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Medicare PECOS PAC ID | 8325498868 |
|---|---|
| Medicare Enrollment ID | O20231227000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609493097 | NPI | - | NPPES |
| 0424224 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Sarah A Downes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861944530 PECOS PAC ID: 3274958590 Enrollment ID: I20240127000327 |
| Provider Name | Beth A Tamborski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144207283 PECOS PAC ID: 5193169035 Enrollment ID: I20240219001949 |
| Provider Name | Derek Todd Stegner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730692104 PECOS PAC ID: 7214371160 Enrollment ID: I20240219002201 |
| Provider Name | Alicia Mae Moran |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114253150 PECOS PAC ID: 8820212988 Enrollment ID: I20240219002887 |
| Provider Name | Katherine Pixley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487994844 PECOS PAC ID: 3476997354 Enrollment ID: I20240219003143 |
| Provider Name | Susan Margaret Lipiec |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215906193 PECOS PAC ID: 4385088277 Enrollment ID: I20240219003586 |
| Provider Name | Michael Anthony Crowdes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205440906 PECOS PAC ID: 5698119436 Enrollment ID: I20240220001956 |
| Provider Name | Suzanne Gord |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164155230 PECOS PAC ID: 0143605055 Enrollment ID: I20240220002454 |
| Provider Name | Catherine R Kolleth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043540974 PECOS PAC ID: 9931543790 Enrollment ID: I20240220002797 |
| Provider Name | Capri Silvestri Cafaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790565455 PECOS PAC ID: 6901240787 Enrollment ID: I20240220003418 |
| Provider Name | Renee I Decker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033522081 PECOS PAC ID: 2264876044 Enrollment ID: I20240220003446 |
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