Active NPI
Francisco Javier Cornidez, RBT
- Mental Health Counselor
- Bellevue, WA
National Provider Identifier
1609112598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- RBT-15-07950
- Practice address
- 3003 Northup Way
Suite 200
Bellevue, WA 98004-1471 - Phone
- (425) 822-6442
- Fax
- (425) 828-3101
- NPI assigned
- Dec 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | RBT-15-07950 | WA | Primary |
Addresses
Primary practice location
3003 Northup Way
Suite 200
Bellevue, WA 98004-1471
Mailing address
3003 Northup Way
Suite 200
Bellevue, WA 98004-1471
Phone (425) 822-6442
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-15-07950 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Behavioral Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Bellevue, WA
- NPI 1861615122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609112598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3003 NORTHUP WAY",
"address_2": "SUITE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041471",
"telephone_number": "425-822-6442",
"fax_number": "425-828-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 NORTHUP WAY",
"address_2": "SUITE 200",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980041471",
"telephone_number": "425-822-6442",
"fax_number": "425-828-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNIDEZ",
"first_name": "FRANCISCO",
"middle_name": "JAVIER",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RBT-15-07950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.