Nicholas Cornett, PHD, LPC, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P1211104 Issued in AR

Practice address

2105 S 54TH St
Suite #2
Rogers, AR 72758-8169

Phone

(479) 268-4557

NPI assigned

May 4, 2017

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Gretta Meeker Counseling Inc

  • Community/Behavioral Health Agency
  • Rogers, AR
  • NPI 1922545029
  NPD (past)

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1174059554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S COLLEGE ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727613503",
            "telephone_number": "479-283-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 S 54TH ST",
            "address_2": "SUITE #2",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588169",
            "telephone_number": "479-268-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P1211104",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M1212012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Francis Copley, CNM
• Laurie Lynne Corbitt, ANP
• Natalie Cordoza, MS, RD, LD
• Keri Lynn Corn, LAC
• Cornerstone Pharmacy at Rogers, LLC
• Corporate Chiropractic Health
• Corwin D. Petty, MD, PA
• Leah Marie Cossey, APRN
• Mario E Costaldi, M.D.
• Keeley Cotter, OTD, OTR/L

• Mental Health Counselor in Rogers, AR
• Providers in Rogers, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.