Rebecca J Cornell, LSATP, CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0718000319 Issued in VA

Practice address

5001 W Village Green Dr Ste 205
Midlothian, VA 23112-4801

Phone

(866) 934-7450

NPI assigned

Nov 20, 2018

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brightview LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lynchburg, VA
  • NPI 1649786260
  NPD
• Brightview LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Asheboro, NC
  • NPI 1962163782
  NPD
• U.S. Care, LLC

  dba U.S. Care Behavioral Health

  • Community/Behavioral Health Agency
  • Fairfax, VA
  • NPI 1235572017
  NPD (past)

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1073082962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W VILLAGE GREEN DR STE 205",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124801",
            "telephone_number": "866-934-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 E Parham Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232282234",
            "country_code": "US",
            "telephone_number": "888-978-3801",
            "fax_number": "888-978-3802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11745 Jefferson Ave Ste 10B",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064418",
            "country_code": "US",
            "telephone_number": "866-934-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "REBECCA",
        "middle_name": "J",
        "credential": "LSATP, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-20",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710101660",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000319",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0718000319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Cooper, DPT
• Madelyn Sue Coppock, FNP-BC
• Lois Maria Corazzi, FNP-C
• Cara E. Corbelli, D.C.
• Mark Andrew Corbelli, D.C.
• Cornerstone Chiropractic, Inc.
• Xenia Marissa Cornick
• Annette Marie Cornish, LPC
• Maria Isabel Correa Giraldo, DDS
• Alexis Correll

• Addiction (Substance Use Disorder) Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.