Cornerstone Community Counseling PA

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LC4283 Issued in MD

Legal business name

CORNERSTONE COMMUNITY COUNSELING PA

Practice address

7401 Flower Ave
Takoma Park, MD 20912-6425

Phone

(301) 891-1364

NPI assigned

May 15, 2013

Last updated

May 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jon Thomas, LCPC

Title

President

Phone

(301) 891-1364

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1295171437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 1106",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126945",
            "telephone_number": "301-891-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 FLOWER AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126425",
            "telephone_number": "301-891-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COMMUNITY COUNSELING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-891-1364",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC4283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050795400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.