Organization Active NPI

Cornerstone Counseling Services LLC

  • Clinical Social Worker
  • Auburn, MI
National Provider Identifier
1013375831
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801071436 Issued in MI
Legal business name
CORNERSTONE COUNSELING SERVICES LLC
Practice address
111 E Midland Rd
Auburn, MI 48611-9780
Phone
(989) 266-3422
Fax
(989) 266-3197
NPI assigned
Feb 8, 2016
Last updated
Feb 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rebecca A Wilson-Longlet, LMSWNPI 1659308393
Title
Owner / Authorized Official
Phone
(989) 266-3422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801071436 MI Primary

Addresses

Primary practice location

111 E Midland Rd
Auburn, MI 48611-9780

Mailing address

111 E Midland Rd
Auburn, MI 48611-9780
Phone (989) 266-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160510001822 MI Part B Supplier - Clinic/Group Practice 3072802321 Receives reassigned benefits from 1 practitioner
Practice locations: Royal Oak, MI; Auburn, MI

National Provider Directory

National Provider Directory

Locations

111 E Midland Rd
Auburn, MI 48611
Phone (989) 266-3421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454889600000",
    "number": "1013375831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119780",
            "telephone_number": "989-266-3422",
            "fax_number": "989-266-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119780",
            "telephone_number": "989-266-3422",
            "fax_number": "989-266-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A",
        "authorized_official_last_name": "WILSON-LONGLET",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "989-266-3422",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801071436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.