Cornerstone Counseling Service LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149-006656 Issued in IL

Legal business name

CORNERSTONE COUNSELING SERVICE LLC

Practice address

102 E Lafayette St
Monticello, IL 61856-1954

Phone

(217) 433-6109

NPI assigned

Feb 8, 2010

Last updated

Feb 8, 2010By 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

James D Edwards, LCSWNPI 1568520245

Title

Director

Phone

(217) 433-6109

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• James Douglas (Doug) Edwards, LCSW

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1568520245
  Authorized official Same address or phone

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1366774846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E LAFAYETTE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561954",
            "telephone_number": "217-433-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LAFAYETTE ST",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561954",
            "telephone_number": "217-433-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-433-6109",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149-006656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149-006656",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Clinic, LLC
• Jessica Clapp, LCSW
• Crystal S Clark
• Felicia Anne Clark, PA-C
• Lauren A Coovert, PA-C
• Ashley Crain, LPC
• Rowan Crozier
• Warren Dalal
• Kelly Donnelly, DPT
• Andrea Dunlap, LSW

• Community/Behavioral Health Agency in Monticello, IL
• Providers in Monticello, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.