Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bethani Cogburn, PHD, LCMHC, QS

Individual provider Mental Health Counselor · NPI 1053936336

Dr. Bethani Cogburn, PHD, LCMHC, QS is a Mental Health Counselor in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1235 E Blvd Ste E #176
Charlotte, NC 28203-5876
Phone: (704) 266-2087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13192 (NC)

Record details

NPI number1053936336
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , LCMHC , QS
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESAugust 17, 2025
Certification dateAugust 17, 2025

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