Individual provider Active NPI

Shelli L Cornwell, LIMHP, LADC, PC

  • Counselor
  • Columbus, NE
National Provider Identifier
1417207671
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1460 35TH Ave
Columbus, NE 68601
Phone
(402) 562-6767
Fax
(402) 562-6770
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1460 35TH Ave
Columbus, NE 68601

Mailing address

1460 35TH Ave
Columbus, NE 68601
Phone (402) 562-6767

Other identifiers 1

IdentifierTypeStateIssuer
10028961800MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Recovery, LLC Current Accepting new patients
Colegrove Counseling Center, LLC Past Accepting new patients

Locations

1460 35th Ave
Columbus, NE 68601
Phone (402) 562-6767

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1417207671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 35TH AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "68601",
            "telephone_number": "402-562-6767",
            "fax_number": "402-562-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 35TH AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "68601",
            "telephone_number": "402-562-6767",
            "fax_number": "402-562-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "SHELLI",
        "middle_name": "L",
        "credential": "LIMHP, LADC, PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028961800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.