Individual provider Active NPI

Aubrey Cornwall

  • Professional Counselor
  • West Chester, OH
National Provider Identifier
1164064416
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2204433 Issued in OH
Practice address
8809B Cincinnati Dayton Rd
West Chester, OH 45069-3134
Phone
(330) 323-5669
NPI assigned
Oct 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X APP-000411691 OH
School Social Worker 1041S0200X OH
School Social Worker 1041S0200X APP-000411691 OH
Behavior Technician 106S00000X
Professional Counselor 101YP2500X C.2204433 OH Primary

Addresses

Primary practice location

8809B Cincinnati Dayton Rd
West Chester, OH 45069-3134

Mailing address

6552 Murray Ave Apt 3
Cincinnati, OH 45227-3052
Phone (330) 323-5669

Other practice location 1

7905 Schatz Pointe Dr Ste 104
Centerville, OH 45459-3856
Phone (937) 952-6379

Other practice location 2

4633 Aicholtz Rd
Cincinnati, OH 45244-1447
Phone (513) 752-1555

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
C.2204433OHMDProfessional Counselor
APP-000411691OHMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1164064416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 MURRAY AVE APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452273052",
            "telephone_number": "330-323-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809B CINCINNATI DAYTON RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450693134",
            "telephone_number": "330-323-5669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7905 Schatz Pointe Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454593856",
            "country_code": "US",
            "telephone_number": "937-952-6379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4633 Aicholtz Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452441447",
            "country_code": "US",
            "telephone_number": "513-752-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNWALL",
        "first_name": "AUBREY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "APP-000411691",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "OH",
            "license": "APP-000411691",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2204433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.