Cornerstone

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

34006590A Issued in IN

Legal business name

CORNERSTONE

Practice address

505 N Wabash Ave
Marion, IN 46952-2608

Phone

(765) 662-3971

NPI assigned

Oct 29, 2012

Organization subpart

Yes

Parent organization

GRANT BLACKFORD MENTAL HELTH, INCAs reported in NPPES

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

Authorized official

Name

Mr. Paul Kuczora

Title

Ceo

Phone

(765) 662-3971

Specialties & licenses 1

Addresses

Part of

Grant-Blackford Mental Health Inc

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1053665158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522608",
            "telephone_number": "765-662-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N WABASH AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522608",
            "telephone_number": "765-662-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANT BLACKFORD MENTAL HELTH, INC",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "KUCZORA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-662-3971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "34006590A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel R Cooper Jr.
• Bethany Dawn Coppock, COTA
• Kayla Corey
• Alyssa Corn
• Izabel Cornejo, RBT
• Camile Correll
• Kristin Coryea
• Kaidence Cotter-Carpenter, RBT
• Brooke J Couch
• Carlos Coverdale, RBT

• Community/Behavioral Health Agency in Marion, IN
• Providers in Marion, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.