Cornwall Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CORNWALL COUNSELING PLLC

Practice address

115 SW Blaine St Ste C
Pullman, WA 99163-4905

Phone

(509) 432-3925

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Kami Kate Cornwall, LCPC, LMHCNPI 1124418520

Title

Owner

Phone

(509) 432-3925

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kami Kate Cornwall, LMHC

  • Mental Health Counselor
  • Pullman, WA
  • NPI 1124418520
  NPD Authorized official

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1467047225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SW BLAINE ST STE C",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634905",
            "telephone_number": "509-432-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SW BLAINE ST STE C",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991634905",
            "telephone_number": "509-432-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNWALL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "CORNWALL",
        "authorized_official_first_name": "KAMI",
        "authorized_official_middle_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-432-3925",
        "authorized_official_credential": "LCPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Collins, MD
• Hayley Ann Columbia, LMT
• Becky J Conley
• Megan Elizabeth Cook
• Margaret Ellen Cooke, PHARMD
• Kami Kate Cornwall, LMHC
• Melissa Ann Cox, LMP
• Steven Cox
• Sherry Craft
• Matthew Crahan

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pullman, WA
• Providers in Pullman, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.