Mindi Cornforth, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

05037 Issued in OK

Practice address

112 W Main St
Purcell, OK 73080-4220

Phone

(405) 527-1785

Fax

(405) 527-1084

NPI assigned

Jan 25, 2010

Sex

Female

Sole proprietor

No

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.

• Multi-County Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Purcell, OK
  • NPI 1003855925

  Mental Health

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2023.

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1407187883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "address_2": "PO BOX 662",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804220",
            "telephone_number": "405-527-1785",
            "fax_number": "405-527-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MAIN ST",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730804220",
            "telephone_number": "405-527-1785",
            "fax_number": "405-527-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNFORTH",
        "first_name": "MINDI",
        "name_prefix": "Mrs.",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-25",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "05037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Coker, RD
• Sarah Coley, LPC
• Cindy Anne Collins, DPH
• Debra Conley, MA, LPC
• Levi William Cordes, DPT
• Shea Cross, APRN-CNP
• Custom Dental of Purcell, PLLC
• Lynn Davis
• Erica D Dearman, DO
• Zachry Deaton, RD/LD

• All providers in Purcell, OK
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.