Organization Active NPI

Cornerstone Counseling LLC

  • Mental Health Counselor
  • Marianna, FL
National Provider Identifier
1174850614
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9988; MH9347 Issued in FL
Legal business name
CORNERSTONE COUNSELING LLC
Practice address
2496 Indian Springs Rd
Marianna, FL 32446-3140
Phone
(850) 526-3227
NPI assigned
Nov 4, 2009
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Misti Anderson Or Lolita Smith, LMHC, CAP
Title
Managing Member
Phone
(850) 526-3227

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP3431; CAP3669 FL
Mental Health Counselor 101YM0800X MH9988; MH9347 FL Primary

Addresses

Primary practice location

2496 Indian Springs Rd
Marianna, FL 32446-3140

Mailing address

2496 Indian Springs Rd
Marianna, FL 32446-3140
Phone (850) 526-3227

Other identifiers 2

IdentifierTypeStateIssuer
768925000MedicaidFL
000889900MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2496 Indian Springs Rd
Marianna, FL 32446
Phone (850) 526-3227

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1174850614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 INDIAN SPRINGS RD",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463140",
            "telephone_number": "850-526-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 INDIAN SPRINGS RD",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324463140",
            "telephone_number": "850-526-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "LOLITA SMITH",
        "authorized_official_first_name": "MISTI ANDERSON OR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "850-526-3227",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP3431; CAP3669",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9988; MH9347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768925000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000889900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.