Gretchen Rebekah Corn, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178014714 Issued in IL

Practice address

201 W Walnut St
Robinson, IL 62454

Phone

(618) 469-1020

NPI assigned

Oct 24, 2011

Last updated

Apr 29, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1083990949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W WALNUT ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624542149",
            "telephone_number": "618-469-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W WALNUT ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "62454",
            "telephone_number": "618-469-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORN",
        "first_name": "GRETCHEN",
        "middle_name": "REBEKAH",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178014714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cher Lee Childress, MS, CCC-SLP
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• Crawford County Health Department
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• Crawford Hospital District (Crawford Memorial Hospital Pharmacy)
• Crawford Hospital District (Crawford Memorial Hospital and Health Services)

• Mental Health Counselor in Robinson, IL
• Providers in Robinson, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.