Individual provider Active NPI

Linda Smith Cornwell, LMFT, LPC, CSAC, ATR

  • Professional Counselor
  • Newport News, VA
National Provider Identifier
1144234022
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002042 Issued in VA
Practice address
1 Draper Lane
Newport News, VA 23606-2808
Phone
(757) 873-1812
Fax
(757) 873-1812
NPI assigned
Jul 28, 2006
Last updated
Dec 9, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710000748 VA
Professional Counselor 101YP2500X 0701002042 VA Primary
Marriage & Family Therapist 106H00000X 0717000544 VA

Addresses

Primary practice location

1 Draper Lane
Newport News, VA 23606-2808

Mailing address

1 Draper Lane
Newport News, VA 23606-2808
Phone (757) 873-1812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0710000748VAMDAddiction (Substance Use Disorder) Counselor
0701002042VAMDProfessional Counselor
0717000544VAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1144234022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DRAPER LANE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062808",
            "telephone_number": "757-873-1812",
            "fax_number": "757-873-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DRAPER LANE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062808",
            "telephone_number": "757-873-1812",
            "fax_number": "757-873-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "LINDA",
        "middle_name": "SMITH",
        "credential": "LMFT, LPC, CSAC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710000748",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002042",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000544",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.