Community Cornerstone

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COMMUNITY CORNERSTONE

Practice address

1534 US Highway 321 N # B
Winnsboro, SC 29180-6144

Phone

(919) 247-5973

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Felisha Ann Fletcher

Title

Owner

Phone

(919) 247-5973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1194239335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 PANTHER PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693189",
            "telephone_number": "919-247-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 US HIGHWAY 321 N # B",
            "city": "WINNSBORO",
            "state": "SC",
            "postal_code": "291806144",
            "telephone_number": "919-247-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CORNERSTONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-247-5973"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.