Active NPI
Cornerstone Christian Counseling
- Community/Behavioral Health Agency
- Middlesboro, KY
National Provider Identifier
1023488665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CORNERSTONE CHRISTIAN COUNSELING
- Practice address
- 1759 North 25 Street
Middlesboro, KY 40965 - Phone
- (865) 585-6618
- NPI assigned
- Sep 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Lewis, L.P.C.C
- Title
- Owner
- Phone
- (865) 585-6681
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1759 North 25 Street
Middlesboro, KY 40965
Mailing address
PO Box 1511
Middlesboro, KY 40965-3311
Phone (865) 585-6681
National Provider Directory
National Provider DirectoryLocations
1759 N 25 St
Middlesboro, KY 40965
Phone (865) 585-6618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443139200000",
"number": "1023488665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1511",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409653311",
"telephone_number": "865-585-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1759 NORTH 25 STREET",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "40965",
"telephone_number": "865-585-6618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE CHRISTIAN COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "865-585-6681",
"authorized_official_credential": "L.P.C.C"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middlesboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.