Cornerstone Counseling Center LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3355 Issued in MN

Legal business name

CORNERSTONE COUNSELING CENTER LLC

Practice address

223 1St St E
Suite 102
Jordan, MN 55352-1561

Phone

(952) 292-7050

Fax

(952) 492-7885

NPI assigned

Jan 3, 2017

Last updated

Jan 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Justine Anna Miller, LMFTNPI 1295260685

Title

Owner

Phone

(952) 292-7050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justine Anna Miller, LMFT

  • Marriage & Family Therapist
  • Jordan, MN
  • NPI 1295260685
  Authorized official Same address or phone

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1164967980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 1ST ST E",
            "address_2": "SUITE 102",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521561",
            "telephone_number": "952-292-7050",
            "fax_number": "952-492-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 1ST ST E",
            "address_2": "SUITE 102",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521561",
            "telephone_number": "952-292-7050",
            "fax_number": "952-492-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-292-7050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Jordan, MN
• Providers in Jordan, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.