Jeremy Corbeille, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4950 Issued in KS

Practice address

809 Elmhurst Blvd
Salina, KS 67401-7405

Phone

(785) 823-6322

NPI assigned

May 24, 2012

Sex

Male

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

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pawnee Mental Health Service IncGroup PAC ID 3870406820, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Pawnee Mental Health Service, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manhattan, KS
  • NPI 1275580524
  Medicare reassignment Care Compare group NPD
• Pawnee Mental Health Service, Inc.

  • Primary Care Clinic/Center
  • Manhattan, KS
  • NPI 1356139158
  NPD

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1053671933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FARM BUREAU RD LOT 313",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 ELMHURST BLVD",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674017405",
            "telephone_number": "785-823-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBEILLE",
        "first_name": "JEREMY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-24",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Gissell Contreras, LMSW
• Tonya M Coon, CPTA
• David Lawrence Cooper, O.D.
• James L Cooper, MD
• Maralyn K Cooper, LMSW
• Cornerstone Clinic, LLC
• Cornerstone Therapy LLC
• Kathleen E. Corona, APRN
• Lucas Brent Cosens, DC, DPM
• Dani J Cossette, CRNA

• Clinical Social Worker in Salina, KS
• Providers in Salina, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.