Organization Active NPI

Cornerstone Counseling

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1033970728
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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 COUNSELINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Counseling2 organizations share this tax ID, including this one
Part of
Cornerstone Counseling

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.