Organization Active NPI

Cornerstone Comprehensive Services

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1043358419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8301205 Issued in NC
Legal business name
CORNERSTONE COMPREHENSIVE SERVICES
Practice address
1303 Ashleybrook LN
Winston Salem, NC 27103-2918
Phone
(336) 760-0700
Fax
(336) 760-0007
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Charrisse T Somme, LPC
Title
Ceo
Phone
(336) 760-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8301205 NC Primary

Addresses

Primary practice location

1303 Ashleybrook LN
Winston Salem, NC 27103-2918

Mailing address

1303 Ashleybrook LN
Winston Salem, NC 27103-2918
Phone (336) 760-0700

Other identifiers 1

IdentifierTypeStateIssuer
8301205MedicaidNC

National Provider Directory

National Provider Directory

Locations

1303 Ashleybrook Ln
Winston Salem, NC 27103
Phone (336) 760-0700

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043358419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032918",
            "telephone_number": "336-760-0700",
            "fax_number": "336-760-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 ASHLEYBROOK LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032918",
            "telephone_number": "336-760-0700",
            "fax_number": "336-760-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMPREHENSIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOMME",
        "authorized_official_first_name": "CHARRISSE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-760-0700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8301205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301205",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.