Julissa Elena Corona

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C017779 Issued in NC

Practice address

1864 Tacoma Way
Denver, NC 28037-1454

Phone

(704) 480-3693

NPI assigned

Dec 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blue Mist Psychotherapy, PLLC

  • Clinical Social Worker
  • Denver, NC
  • NPI 1174415442

  Clinical

  NPD Authorized official
• Child & Family Services of Eastern Virginia, Inc

  • Community/Behavioral Health Agency
  • Norfolk, VA
  • NPI 1629158159

  Clinical

  NPD (past)
• Chugach Counseling & Consulting

  • Professional Counselor
  • Eagle River, AK
  • NPI 1093342610

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1285239491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BECONTREE CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 TACOMA WAY",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280371454",
            "telephone_number": "704-480-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "JULISSA",
        "middle_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "66520",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "188500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Collins, DDS
• Colleen C Collins, LCMHC, LCAS
• Tina S Collop, OTR/L
• Amanda Jean Colon, PA-C
• Corenia Harmony Nexus, LLC
• Jacqueline Louise Cotter, RN
• Trudie Gay Crawford, LPCA, NCC
• Carol D Crosby, LPC
• Melissa Cruz-Nava, LCMHC
• Christian Lee Cunningham, RN

• All providers in Denver, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.