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DR. BETHANI COGBURN PHD, LCMHC, QS
NPI 1053936336
Counselor - Mental Health in Charlotte, NC

Active since June 11, 2020
1235 EAST BLVD, STE E #176, CHARLOTTE, NC 28203(704) 266-2087 Get Directions Write a Review

NPPES record last updated: August 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2025, Jun 11, 2020 (2 updates tracked since 2020).

About Dr. Bethani Cogburn Phd, Lcmhc, Qs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BETHANI COGBURN PHD, LCMHC, QS (NPI 1053936336) is an individual mental health provider in Charlotte, North Carolina, licensed in North Carolina (13192) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1053936336
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. BETHANI COGBURNCredential: PHD, LCMHC, QS
Location Address1235 EAST BLVD, STE E #176Charlotte, NC 28203-5876
Mailing Address1235 East Blvd., Ste E #176Charlotte, NC 28203-5876 · (704) 266-2087
Phone(704) 266-2087
Sole ProprietorNo
Enumeration DateJune 11, 2020
Last NPPES UpdateAugust 17, 20252 updates tracked since enumeration
NPPES CertifiedAugust 17, 2025
✔ NPI 1053936336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 13192
1235 EAST BLVD, Charlotte, NC 28203
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVANEST PSYCHIATRY AND WELLNESS PLLC
Nurse Practitioner (Psychiatric/Mental Health)
1235 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (980) 247-0229
MISS JILL SMITH C.PED
Specialist
1235 EAST BLVD, SUITE K
CHARLOTTE, NC 28203
Mecklenburg County (704) 335-4070
SAVVY WELLNESS CENTER, PLLC
Community/Behavioral Health
1235 EAST BLVD, SUITE E
CHARLOTTE, NC 28203
Mecklenburg County (866) 736-6408
THE LACTATION NETWORK, LLC
Lactation Consultant, Non-RN
1235 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (888) 510-0059
MS. LASHENA SHARAY BUCKLEY
In Home Supportive Care
1235 EAST BLVD, STE. E #1844
CHARLOTTE, NC 28203
Mecklenburg County (731) 614-3999
LET SHIFT HAPPEN THERAPY AND CONSULTING
Community/Behavioral Health
1235 EAST BLVD, STE. E. #1209
CHARLOTTE, NC 28203
Mecklenburg County (980) 999-0170
CHARLOTTE PRIMARY SERVICES INC.
Family Medicine
1235 EAST BLVD
CHARLOTTE, NC 28203
Mecklenburg County (252) 470-8358
JILL RACHELE ENTERPRISES, INC.
Durable Medical Equipment & Medical Supplies
1235 EAST BLVD, SUITE K
CHARLOTTE, NC 28203
Mecklenburg County (704) 335-4070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethani Cogburn's NPI number?

The NPI number for Bethani Cogburn is 1053936336. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Bethani Cogburn located?

Bethani Cogburn practices at 1235 East Blvd Ste E #176, Charlotte, NC 28203. The listed phone number is (704) 266-2087.

What is Bethani Cogburn's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bethani Cogburn was last updated on August 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.