Active NPI
Melissa June Marie Cornell
- Mental Health Counselor
- Newport, OR
National Provider Identifier
1467889253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 51 SW Lee St
Newport, OR 97365-3823 - Phone
- (541) 574-5960
- Fax
- (844) 760-0526
- NPI assigned
- Oct 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
51 SW Lee St
Newport, OR 97365-3823
Mailing address
160 Susie CT
Fort Bragg, CA 95437-5234
Other practice location 1
474 S Franklin St
Fort Bragg, CA 95437-4803
Phone (707) 961-0172
Other names 1
- Melissa June Marie Burton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inactive - County of Lincoln | Past | Accepting new patients | |
| County of Lincoln | Past | Accepting new patients | |
| Mendocino Coast Hospitality Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Fort Bragg, CA
- NPI 1912333766
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Newport, OR
- NPI 1740061878
-
- Adult Mental Health Clinic/Center
- Newport, OR
- NPI 1326414087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1467889253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 SUSIE CT",
"city": "FORT BRAGG",
"state": "CA",
"postal_code": "954375234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SW LEE ST",
"city": "NEWPORT",
"state": "OR",
"postal_code": "973653823",
"telephone_number": "541-574-5960",
"fax_number": "844-760-0526"
}
],
"practiceLocations": [
{
"address_1": "474 S Franklin St",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "CA",
"postal_code": "954374803",
"country_code": "US",
"telephone_number": "707-961-0172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNELL",
"first_name": "MELISSA",
"middle_name": "JUNE MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-11",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "BURTON",
"middle_name": "JUNE MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Newport, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.