Active NPI
Kristine Elizabeth Cornett, LMHC
- Mental Health Counselor
- Munster, IN
National Provider Identifier
1174148704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39004461A
- Practice address
- 9250 Columbia Ave Ste 2E
Munster, IN 46321-3530 - Phone
- (219) 595-0043
- Fax
- (219) 237-2894
- NPI assigned
- Jun 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39004461A | IN | Primary |
Addresses
Primary practice location
9250 Columbia Ave Ste 2E
Munster, IN 46321-3530
Mailing address
9250 Columbia Ave Ste 2E
Munster, IN 46321-3530
Phone (219) 595-0043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88001071A | Other | IN | LICENSURE |
Other names 1
- Kristine Harris; Wiley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kcornett@claritynwi.com |
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 |
|---|---|---|---|
| 39004461A | IN | MD | Mental Health Counselor |
Interoperability endpoints
- kcornett@claritynwi.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679702400000",
"number": "1174148704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE STE 2E",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213530",
"telephone_number": "219-595-0043",
"fax_number": "219-237-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 COLUMBIA AVE STE 2E",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213530",
"telephone_number": "219-595-0043",
"fax_number": "219-237-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNETT",
"first_name": "KRISTINE",
"middle_name": "ELIZABETH",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-09",
"last_updated": "2023-03-25",
"certification_date": "2023-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39004461A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSURE",
"identifier": "88001071A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kcornett@claritynwi.com",
"affiliation": "N",
"address_1": "9405 Fillmore Ct",
"city": "Crown Point",
"state": "IN",
"country_code": "US",
"postal_code": "463071747",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTINE",
"last_name": "HARRIS; WILEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.