Cognitive Clinic P C
NPI 1770936585ActiveOrganization· Counselor, Professional· Palos Hills, IL
Counselor, Professional in Palos Hills, Illinois, registered in NPPES in July 2016. The authorized official on file is Carla Carter, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770936585 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2016 |
| Last updated in NPPES | Jun 21, 2026 |
| Certified by provider | Jun 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 180.010304 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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