Individual provider Active NPI

Annette Marie Cornish, LPC

  • Professional Counselor
  • Midlothian, VA
National Provider Identifier
1619539459
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008008 Issued in VA
Practice address
9937 Greywell Ter
Midlothian, VA 23112-3676
Phone
(804) 305-7770
Fax
(703) 799-3661
NPI assigned
Jul 2, 2019
Last updated
Jul 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701008008 VA Primary

Addresses

Primary practice location

9937 Greywell Ter
Midlothian, VA 23112-3676

Mailing address

9937 Greywell Ter
Midlothian, VA 23112-3676
Phone (804) 305-7770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20250825002619 VA Practitioner - Mental Health Counselor 8628578507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8344 Brockham Dr
Alexandria, VA 22309-1876

9937 Greywell Ter
Midlothian, VA 23112-3676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701008008VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Annette Marie Cornish Professional CurrentSince May 14, 2025 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1619539459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9937 GREYWELL TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123676",
            "telephone_number": "804-305-7770",
            "fax_number": "703-799-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9937 GREYWELL TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123676",
            "telephone_number": "804-305-7770",
            "fax_number": "703-799-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNISH",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701008008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.