Active NPI
Nora Doreen Cornelius, LMHC
- Mental Health Counselor
- Springdale, WA
National Provider Identifier
1053500280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00009315
- Practice address
- 4556 Smokey Lane
Springdale, WA 99173 - Phone
- (509) 301-3638
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00004093 | WA | |
| Mental Health Counselor | 101YM0800X | LH00009315 | WA | Primary |
Addresses
Primary practice location
4556 Smokey Lane
Springdale, WA 99173
Mailing address
PO Box 746
Wellpinit, WA 99040-0746
Phone (509) 301-3638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 602766698 | Other | WA | UBI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP00004093 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LH00009315 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1053500280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746",
"city": "WELLPINIT",
"state": "WA",
"postal_code": "990400746",
"telephone_number": "509-301-3638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4556 SMOKEY LANE",
"city": "SPRINGDALE",
"state": "WA",
"postal_code": "99173",
"telephone_number": "509-301-3638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIUS",
"first_name": "NORA",
"middle_name": "DOREEN",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2025-06-05",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00004093",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00009315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI NUMBER",
"identifier": "602766698",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.