Kit J Corps, MA, LMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

88000634A Issued in IN

Practice address

7230 Engle Rd Ste 304
Fort Wayne, IN 46804-2209

Phone

(260) 483-2400

Fax

(260) 960-9361

NPI assigned

May 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbh@cookbehavioral.com

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.

• Foxfire Counseling LLC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1164016085

  IN, Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1245896349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 ENGLE RD STE 304",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042209",
            "telephone_number": "260-483-2400",
            "fax_number": "260-960-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 ENGLE RD STE 304",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042209",
            "telephone_number": "260-483-2400",
            "fax_number": "260-960-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPS",
        "first_name": "KIT",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "MA, LMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88000634A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CBH@CookBehavioral.com",
            "affiliation": "N",
            "endpointDescription": "Website main email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7230 Engle Rd Ste 304",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468042209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Justin Robert Cornewell, PHARMD
• Kimberly Paige Cornman, MA, BCBA
• Carissa Cornwall, RBT
• Pamela S Cornwell, NP
• Gina Coronato
• Leo J Corral, LAT, ATC
• Angeleah Corrales
• Spencer Phillip Corrona, DC
• Amber Corsbie
• Ana Laura Cortes-Jose

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.