Palouse Ridge Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MC 60489971 Issued in WA

Legal business name

PALOUSE RIDGE COUNSELING

Practice address

1205 SE Professional Mall Blvd Ste 109
Pullman, WA 99163-5423

Phone

(509) 432-3925

NPI assigned

Jan 13, 2016

Organization subpart

No

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

Authorized official

Name

Kami Cornwall, LMHCANPI 1124418520

Title

Owner

Phone

(509) 432-3925

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kami Kate Cornwall, LMHC

  • Mental Health Counselor
  • Pullman, WA
  • NPI 1124418520
  NPD (past) Authorized official

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1073979589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD STE 109",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-432-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 SE PROFESSIONAL MALL BLVD STE 109",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-432-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOUSE RIDGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "CORNWALL",
        "authorized_official_first_name": "KAMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-432-3925",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "MC 60489971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Palouse Pediatrics, PLLC
• Palouse Psychiatry and Behavioral Health
• Palouse Recovery Center LLC (PRC)
• Palouse River Counseling Center (Palouse River Counseling)
• Palouse River Counseling Center (Palouse River Counseling)
• Palouse Specialty Physicians, P.S.
• Palouse Specialty Physicians, P.S. (Palouse ENT & Audiology)
• Palouse Surgeons, LLC

• Community/Behavioral Health Agency in Pullman, WA
• Providers in Pullman, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.