Angela Michelle Cornett, M. ED., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701011110 Issued in VA

Practice address

109 Main St
Pennington Gap, VA 24277-3211

Phone

(276) 546-3330

Fax

(276) 386-3338

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

No

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 Education

State licenses

Practice roles

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.

• Family Preservation Services LLC

  • Community/Behavioral Health Agency
  • Roanoke, VA
  • NPI 1093891335
  NPD (past)

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1104586304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MAIN ST",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242773211",
            "telephone_number": "276-546-3330",
            "fax_number": "276-386-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MAIN ST",
            "city": "PENNINGTON GAP",
            "state": "VA",
            "postal_code": "242773211",
            "telephone_number": "276-546-3330",
            "fax_number": "276-386-3338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 Municipal Ave",
            "address_purpose": "LOCATION",
            "city": "Gate City",
            "state": "VA",
            "postal_code": "242512738",
            "country_code": "US",
            "telephone_number": "276-386-3335",
            "fax_number": "276-386-3338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8280 Willow Oaks Corporate Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314516",
            "country_code": "US",
            "telephone_number": "415-424-4266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "credential": "M. ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011110",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya L Clark, MSR:PT
• Chelsea Marie Cluesman
• Maryann Collins, NP
• Carolyn Sue Cope, BS QMHP
• Cornerstone Therapy Services, Inc.
• Eric W Creech, MSW
• Jessica Daily
• Darryl B. Estes
• Lisa K Deeds, NP
• Amy R. Dickenson, NP

• Professional Counselor in Pennington Gap, VA
• Providers in Pennington Gap, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.