Organization Active NPI

Cornerstone Counseling, LLC

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1588312557
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CORNERSTONE COUNSELING, LLC
Practice address
600 N Thacker Ave
Kissimmee, FL 34741-4892
Phone
(321) 732-2315
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Grimarie Fernandez, LMHC
Title
Manager
Phone
(407) 255-9504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

600 N Thacker Ave
Kissimmee, FL 34741-4892

Mailing address

600 N Thacker Ave Ste D31
Kissimmee, FL 34741-4808
Phone (321) 732-2315

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 N Thacker Ave
Kissimmee, FL 34741
Phone (321) 732-2315

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1588312557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N THACKER AVE STE D31",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414808",
            "telephone_number": "321-732-2315",
            "fax_number": "321-222-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N THACKER AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414892",
            "telephone_number": "321-732-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "GRIMARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-255-9504",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.