NPIMap

Organization Active NPI

Cornerstone Wellness Center Inc

  • Professional Counselor
  • Beaver, PA
National Provider Identifier
1316513344
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CORNERSTONE WELLNESS CENTER INC
Practice address
265 3Rd St FL 2
Beaver, PA 15009-2350
Phone
(724) 413-6451
NPI assigned
Jun 1, 2021
Last updated
Jun 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Authorized official

Name
Erin Moore
Title
Practice Manager
Phone
(724) 272-9674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

265 3Rd St FL 2
Beaver, PA 15009-2350

Mailing address

265 3Rd St FL 2
Beaver, PA 15009-2350

Other identifiers 1

IdentifierTypeStateIssuer
1063924520OtherNPI TYPE I

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125001944 PA Part B Supplier - Clinic/Group Practice 4789076761 Receives reassigned benefits from 16 practitioners
Practice locations: Beaver, PA; Pittsburgh, PA

National Provider Directory

National Provider Directory

Locations

265 3rd St
#2
Beaver, PA 15009
Phone (724) 371-0177

1000 Cliffmine Rd
Ste 130
Pittsburgh, PA 15275
Phone (412) 925-2910

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1316513344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 3RD ST FL 2",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 3RD ST FL 2",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "724-413-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "724-272-9674"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE I",
            "identifier": "1063924520",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "265 3rd St Fl 2",
            "city": "Beaver",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150092350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.