Cornerstone Counseling Center, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CORNERSTONE COUNSELING CENTER, PLLC

Practice address

18510 MN-371
Suite D
Brainerd, MN 56401

Phone

(218) 838-4209

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas Gammello, MANPI 1558383000

Title

Owner

Phone

(218) 838-4209

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Nicholas Gammello

  • Psychologist
  • Brainerd, MN
  • NPI 1558383000
  NPD Authorized official
• Kelsi L Evans, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brainerd, MN
  • NPI 1255866521
  NPD (past)
• Luke Funk

  • Psychiatric/Mental Health Nurse Practitioner
  • Brainerd, MN
  • NPI 1003676263
  NPD (past)

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1386461077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11636 FAIRWAY RD",
            "city": "EAST GULL LAKE",
            "state": "MN",
            "postal_code": "564012099",
            "telephone_number": "218-838-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18510 MN-371",
            "address_2": "SUITE D",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "56401",
            "telephone_number": "218-838-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "GAMMELLO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-838-4209",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Sue Coil, LPN
• Stephen William Colby, DDS MS
• Connie Lobergs Adult Foster Care Home
• Gates C Cook, M.D.
• Core Professional Services, P.a.
• Ranae Louise Cosert, MS, LPCC
• County of Crow Wing (Health Department)
• Covenant Independent Living Services, Inc.
• Cranny's 4 Care, LLC (Home Instead Senior Care)
• Sami Cross, LPCC

• Adult Mental Health Clinic/Center in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Adult Mental Health Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.