Individual provider Active NPI

Andrea Cornell, M.A.

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1629140355
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
41 Union SQ W
Suite 1328
New York, NY 10003-3236
Phone
(347) 329-4462
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

41 Union SQ W
Suite 1328
New York, NY 10003-3236

Mailing address

41 Union SQ W
Suite 1328
New York, NY 10003-3236
Phone (917) 255-1401

Other practice location 1

7770 Regents Rd # 113-546
San Diego, CA 92122-1937
Phone (917) 225-1401

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Cornell & Associates Marriage and Family Therapy Mental Health Current Accepting new patients
Cornell & Associates Marriage and Family Therapy Mental Health CurrentSince Jun 4, 2023 Accepting new patients

Locations

7770 Regents Rd
#113546
San Diego, CA 92122
Phone (917) 225-1401

41 Union Sq W
Ste 1328
New York, NY 10003
Phone (646) 470-7109

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1629140355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W",
            "address_2": "SUITE 1328",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033236",
            "telephone_number": "917-255-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 UNION SQ W",
            "address_2": "SUITE 1328",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033236",
            "telephone_number": "347-329-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7770 Regents Rd # 113-546",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921221937",
            "country_code": "US",
            "telephone_number": "917-225-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "ANDREA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.