Billy Winford Corn, LPC, LMFT, ADS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7220 Issued in TX

Practice address

8554 County Road 4023
Kemp, TX 75143-4354

Phone

(972) 296-2676

Fax

(972) 421-1816

NPI assigned

Oct 21, 2006

Last updated

Apr 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Branch of Life, Inc

  • Professional Counselor
  • Duncanville, TX
  • NPI 1609173889
  NPD (past) Authorized official

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1346323706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8554 COUNTY ROAD 4023",
            "city": "KEMP",
            "state": "TX",
            "postal_code": "751434354",
            "telephone_number": "972-296-2676",
            "fax_number": "972-421-1816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8554 COUNTY ROAD 4023",
            "city": "KEMP",
            "state": "TX",
            "postal_code": "751434354",
            "telephone_number": "972-296-2676",
            "fax_number": "972-421-1816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORN",
        "first_name": "BILLY",
        "middle_name": "WINFORD",
        "name_prefix": "Mr.",
        "credential": "LPC, LMFT, ADS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "ICAADC 159",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "7220",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "1343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Bearden, COTA
• Breana Nicole Blue
• Cedar Creek Hearing Center
• Stephanie Lynn Chandler, APRN
• Marion Brown Cobb, RPH
• Country Nursing Solutions, Inc.
• Cindy Ann Davis, OT/L
• Cathy Jean Deen, PT
• Dual D Health Care Operations, Inc (Kemp Care Center)
• Robert W Emfinger

• Professional Counselor in Kemp, TX
• Providers in Kemp, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.

Verify at the official NPI Registry.