Active NPI
Pamela Ann Cornwell, LCMFT
- Marriage & Family Therapist
- Wichita, KS
National Provider Identifier
1215064753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 233
- Practice address
- 4155 E Harry St
Wichita, KS 67218-3725 - Phone
- (800) 423-1342
- Fax
- (785) 628-3113
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 233 | KS | Primary |
Addresses
Primary practice location
4155 E Harry St
Wichita, KS 67218-3725
Mailing address
509 E Elm St
Salina, KS 67401-2353
Phone (800) 423-1342
Other practice location 1
119 Jones St
El Dorado, KS 67042-1469
Phone (800) 423-1342
Other practice location 2
2008 11th St
Great Bend, KS 67530-4419
Phone (800) 423-1342
Other practice location 3
2140 N Kansas Ave Ste B
Liberal, KS 67901-2460
Phone (800) 423-1342
Other practice location 4
1509 Avenue P Ste B
Dodge City, KS 67801-7012
Phone (800) 423-1342
Other practice location 5
904 Broadway
Concordia, KS 66901-3502
Phone (800) 423-1342
Other practice location 6
180 W 5th St
Colby, KS 67701-2313
Phone (800) 423-1342
Other practice location 7
423 SE 10th St
Newton, KS 67114-4409
Phone (800) 423-1342
Other practice location 8
501 N Monroe St
Hutchinson, KS 67501-1345
Phone (800) 423-1342
Other practice location 9
1421 W 8th St
Wellington, KS 67152-4736
Phone (800) 423-1342
Other practice location 10
222 Southwind Pl
Manhattan, KS 66503-3123
Phone (800) 423-1342
Other practice location 11
1013 W 8th St Ste A
Junction City, KS 66441-2281
Phone (800) 423-1342
Other practice location 12
3000 Broadway Ave
Hays, KS 67601-1916
Phone (800) 423-1342
Other practice location 13
1221 E 12th Ave
Emporia, KS 66801-3321
Phone (800) 423-1342
Other practice location 14
1110 J C St
Garden City, KS 67846-6345
Phone (800) 423-1342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200438690C | Medicaid | KS |
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 |
|---|---|---|---|
| 233 | KS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Community and Residential Services, Inc | Marriage & Family Therapist | Past | Accepting new patients |
| Saint Francis Community Services, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
| Saint Francis Community Services, Inc. | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salina, KS
- NPI 1245351527
Marriage & Family Therapist
-
dba Saint Francis Community and Residential Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salina, KS
- NPI 1063574499
Marriage & Family Therapist
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salina, KS
- NPI 1144341694
Marriage & Family Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1215064753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 E ELM ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674012353",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4155 E HARRY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183725",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113"
}
],
"practiceLocations": [
{
"address_1": "119 Jones St",
"address_purpose": "LOCATION",
"city": "El Dorado",
"state": "KS",
"postal_code": "670421469",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2008 11th St",
"address_purpose": "LOCATION",
"city": "Great Bend",
"state": "KS",
"postal_code": "675304419",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2140 N Kansas Ave Ste B",
"address_purpose": "LOCATION",
"city": "Liberal",
"state": "KS",
"postal_code": "679012460",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1509 Avenue P Ste B",
"address_purpose": "LOCATION",
"city": "Dodge City",
"state": "KS",
"postal_code": "678017012",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "904 Broadway",
"address_purpose": "LOCATION",
"city": "Concordia",
"state": "KS",
"postal_code": "669013502",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 W 5th St",
"address_purpose": "LOCATION",
"city": "Colby",
"state": "KS",
"postal_code": "677012313",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "423 SE 10th St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "KS",
"postal_code": "671144409",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 N Monroe St",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675011345",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1421 W 8th St",
"address_purpose": "LOCATION",
"city": "Wellington",
"state": "KS",
"postal_code": "671524736",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Southwind Pl",
"address_purpose": "LOCATION",
"city": "Manhattan",
"state": "KS",
"postal_code": "665033123",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1013 W 8th St Ste A",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "KS",
"postal_code": "664412281",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3000 Broadway Ave",
"address_purpose": "LOCATION",
"city": "Hays",
"state": "KS",
"postal_code": "676011916",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1221 E 12th Ave",
"address_purpose": "LOCATION",
"city": "Emporia",
"state": "KS",
"postal_code": "668013321",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1110 J C St",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "KS",
"postal_code": "678466345",
"country_code": "US",
"telephone_number": "800-423-1342",
"fax_number": "785-628-3113",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNWELL",
"first_name": "PAMELA",
"middle_name": "ANN",
"credential": "LCMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "KS",
"license": "233",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200438690C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
- Cornerstone Assisted Living
- Cornerstone Assisted Living (Cornerstone Broadmoor)
- Cornerstone Assisted Living Inc. (Ascension Living Via Christi Village Ridge)
- Cornerstone Counseling LLC
- Patricia D Corning, RN, CDE
- Hannah Corona
- Myrah Nina Corral, PT
- Nicole Correia
- Chad Matthew Corrigan, MD
- Corterra of Wichita, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.