Cornerstone Youth Collective

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CORNERSTONE YOUTH COLLECTIVE

Doing business as

Cornerstone Youth Collective

Practice address

720 Seneca St Ste 107
Seattle, WA 98101-3265

Phone

(425) 390-4062

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Miss Kayliah D Becknell, AAC , CBT

Title

Ceo & Co Founder

Phone

(425) 390-4062

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cornerstone Youth Collective Doing business as

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1073367306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SENECA ST STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013265",
            "telephone_number": "425-390-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SENECA ST STE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013265",
            "telephone_number": "425-390-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE YOUTH COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "BECKNELL",
        "authorized_official_first_name": "KAYLIAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO & CO FOUNDER",
        "authorized_official_telephone_number": "425-390-4062",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "AAC , CBT"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366191223",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Youth Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Jolaine Cornell
• Heather Nicole Cornell, MS, OTR/L, CLT
• Geoffrey Winston Corner, PHD
• Cornerstone Caregiving West LLC
• Cornerstone Pharmacy Services
• Stacy Lee Cornett
• Paul B Cornia, M.D.
• Daniel L. Cornish, M.D.
• William Cornwell III
• Amanda Corona, RN

• Case Management Agency in Seattle, WA
• Providers in Seattle, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.