Cornelius Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC00430 Issued in MN

Legal business name

CORNELIUS COUNSELING, LLC

Practice address

1405 Silver Lake Rd NW
New Brighton, MN 55112-9301

Phone

(651) 895-3624

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Amanda V Cornelius, LPCCNPI 1942593561

Title

Owner

Phone

(651) 895-3624

Specialties & licenses 4

Addresses

Other names 1

• Wellspring Counselors Doing business as

Locations

Practitioners 3

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

• Amanda Virginia Cornelius, LPC

  • Mental Health Counselor
  • New Brighton, MN
  • NPI 1942593561
  NPD (past) Authorized official
• Kimberly Anderson, PSY.D., LP

  • Clinical Psychologist
  • New Brighton, MN
  • NPI 1891249140

  Mental Health

  NPD (past)
• Christine Osgood, LMFT

  • Marriage & Family Therapist
  • New Brighton, MN
  • NPI 1386519965
  NPD (past)

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1609114883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129301",
            "telephone_number": "651-895-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129301",
            "telephone_number": "651-895-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-895-3624",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC00430",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00430",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychoanalyst",
            "state": "MN",
            "license": "CC0430",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "CC0430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Counselors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Jennifer Coleman, MA, LMFT
• Kimberlee Ann Comfort, MA, LP
• Como Behavioral Care LLC
• Connections & Wellness, PLLC
• Teresa Josephine Connelly, MA
• Amanda Virginia Cornelius, LPC
• Lynnea Eileen Couenhoven, R.N.
• John Aaron Coverstone, AUD
• Cranial Technologies, Inc.
• Mitchell Daas

• Mental Health Counselor in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.