Active NPI
Cornerstone Counseling
- Mental Health Counselor
- Kissimmee, FL
National Provider Identifier
1033970728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CORNERSTONE COUNSELING
- Practice address
- 600 N Thacker Ave Ste D31
Kissimmee, FL 34741-4808 - Phone
- (321) 732-2315
- Fax
- (321) 222-6228
- NPI assigned
- Jan 19, 2024
- Organization subpart
- Yes
- Parent organization
- CORNERSTONE COUNSELING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grimarie Fernandez, LMHC
- Title
- Manager /Owner
- Phone
- (321) 732-2315
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
600 N Thacker Ave Ste D31
Kissimmee, FL 34741-4808
Mailing address
3010 Boat Lift Rd FL 34746
Kissimmee, FL 34746-4549
Phone (407) 255-9504
Other names 1
- Cornerstone Counseling
National Provider Directory
National Provider Directory- Tax ID family
- Cornerstone Counseling
- Part of
- Cornerstone Counseling
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Kissimmee, FL
- NPI 1588312557
Locations
600 N Thacker Ave
Ste D31
Kissimmee, FL 34741
Phone (321) 732-2315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1033970728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 BOAT LIFT RD FL 34746",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347464549",
"telephone_number": "407-255-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N THACKER AVE STE D31",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414808",
"telephone_number": "321-732-2315",
"fax_number": "321-222-6228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE COUNSELING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORNERSTONE COUNSELING",
"enumeration_date": "2024-01-19",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "GRIMARIE",
"authorized_official_title_or_position": "MANAGER /OWNER",
"authorized_official_telephone_number": "321-732-2315",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Counseling",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.