Kami Kate Cornwall, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

60982449 Issued in WA

Practice address

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

Phone

(509) 432-3925

NPI assigned

Jan 23, 2015

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

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 and National Provider Directory roles.

• Cornwall Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pullman, WA
  • NPI 1467047225
  NPD Authorized official
• Palouse Ridge Counseling

  • Community/Behavioral Health Agency
  • Pullman, WA
  • NPI 1073979589
  NPD (past) Authorized official

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1124418520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SW BLAINE ST STE C",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634905",
            "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",
            "address_2": "SUITE 109",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635423",
            "telephone_number": "509-432-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWALL",
        "first_name": "KAMI",
        "middle_name": "KATE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60489971",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "60982449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Ann Columbia, LMT
• Becky J Conley
• Megan Elizabeth Cook
• Margaret Ellen Cooke, PHARMD
• Cornwall Counseling PLLC
• Melissa Ann Cox, LMP
• Steven Cox
• Sherry Craft
• Matthew Crahan
• Brandon J Cridlebaugh, DPT

• Mental Health Counselor in Pullman, WA
• Providers in Pullman, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.