Vienna Cornell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

955 Dairy Ashford Rd Ste 108
Houston, TX 77079-5307

Phone

(713) 842-9510

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vienna Pae Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 6, 2024 through Jun 6, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Deep Well Counseling, PLLC

  • Professional Counselor
  • Houston, TX
  • NPI 1225804743
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1356959696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD RD STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 DAIRY ASHFORD RD STE 108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770795307",
            "telephone_number": "713-842-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Citywest Blvd Ste 150-140",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770423000",
            "country_code": "US",
            "telephone_number": "713-842-9510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "955 Dairy Ashford Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770795307",
            "country_code": "US",
            "telephone_number": "713-842-9510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "VIENNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIENNA",
            "last_name": "PAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marah Tamika Cornelius, NP-C
• Marlene Cornelius, NP
• Sarah Elizabeth Cornelius
• Sarah Schwandt Cornelius, PA-C
• Robert John Cornell, MD
• Corner Clinic PLLC
• Cornerstone Caregiving West LLC
• Cornerstone Community Healthcare Services, Inc.
• Cornerstone Community Living Inc.
• Cornerstone EMS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.