Active NPI
Aubrey Cornwall
- Professional Counselor
- West Chester, OH
National Provider Identifier
1164064416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C.2204433
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C.2204433 | OH | MD | Professional Counselor |
| APP-000411691 | OH | MD | School 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.