NPIMap

Organization Active NPI

Cornerstone Foundations for Families

Doing business as Cornerstone Foundation for Families

  • Mental Health Counselor
  • Quincy, IL
National Provider Identifier
1649366865
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CORNERSTONE FOUNDATIONS FOR FAMILIES
Doing business as
Cornerstone Foundation for Families
Practice address
316 N 9TH St
Quincy, IL 62301-2742
Phone
(217) 222-8254
Fax
(217) 222-4512
NPI assigned
Oct 5, 2006
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Melissa McKelvieNPI 1760696157
Title
Director
Phone
(217) 222-8254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU
Psychiatry Physician 2084P0800X NU
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X NU

Addresses

Primary practice location

316 N 9TH St
Quincy, IL 62301-2742

Mailing address

316 N 9TH St
Quincy, IL 62301-2742
Phone (217) 222-8254

Other names 1

  • Cornerstone Foundation for Families Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071019000148 IL Part B Supplier - Clinic/Group Practice 9739275942 Receives reassigned benefits from 4 practitioners
Practice locations: Quincy, IL

National Provider Directory

National Provider Directory

Locations

316 N 9th St
Quincy, IL 62301
Phone (217) 222-8254

915 Vermont St
Quincy, IL 62301
Phone (217) 222-8245

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1649366865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N 9TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012742",
            "telephone_number": "217-222-8254",
            "fax_number": "217-222-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N 9TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012742",
            "telephone_number": "217-222-8254",
            "fax_number": "217-222-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE FOUNDATIONS FOR FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "MCKELVIE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-222-8254"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Foundation for Families",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.