Audrey Irene Cornish

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2170 Issued in NE

Practice address

1640 L St Ste C
Lincoln, NE 68508-2581

Phone

(402) 489-9792

NPI assigned

Jun 4, 2019

Last updated

Jun 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Second Chances Psychotherapy LLC

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1083283360
  Medicare reassignment NPD Authorized official
• John W. Herdman, PH.D., PC

  • Cognitive & Behavioral Psychologist
  • Lincoln, NE
  • NPI 1831388826
  NPD (past)
• Parallels, Inc

  • Cognitive & Behavioral Psychologist
  • Lincoln, NE
  • NPI 1790867984

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1598323545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E RD",
            "city": "PALMYRA",
            "state": "NE",
            "postal_code": "684184037",
            "telephone_number": "402-405-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 L ST STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685082581",
            "telephone_number": "402-489-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNISH",
        "first_name": "AUDREY",
        "middle_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Medical Center
• Cornerstone Therapy Centre, PC
• Cornhusker Chiropractic PC
• Cornhusker Place
• Cornhusker Place
• Shellie Rae Cornwell
• Ray Martin Corona
• Jorge Coronilla
• Linda Denise Corr, PA-C
• Dayanne Corrales

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.