Theresa Coriell, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E.0800357 Issued in OH

Practice address

230 S Court St
5
Medina, OH 44256-2275

Phone

(330) 723-7977

NPI assigned

May 24, 2012

Last updated

May 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avenues of Counseling and Mediation

  • Mental Health Counselor
  • Medina, OH
  • NPI 1225253107
  NPD (past)
• Lisa Borchert Dba Avenues of Counseling

  • Mental Health Counselor
  • Medina, OH
  • NPI 1750581179
  NPD (past)

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1043570096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S COURT ST",
            "address_2": "5",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562275",
            "telephone_number": "330-723-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S COURT ST",
            "address_2": "5",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562275",
            "telephone_number": "330-723-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIELL",
        "first_name": "THERESA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0800357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiquita Clayneese Cooper
• Heather Marie Cooper, MPT
• Kelly Cooper
• Willie B Cooper III
• Andrew James Copa, PA-C
• Vanessa Leigh Cornell, CNP
• Cornerstone Psychological & Counseling Services of Northeast Ohio
• Cornerstone Psychological and Counseling Today LLC
• Cornerstone Psychological Servicse
• Cornerstone Wellness Center LLC

• Mental Health Counselor in Medina, OH
• Providers in Medina, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.