Christopher Kent Cornine, PHD

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2001012191 Issued in MO

Practice address

4200 Little Blue Pkwy
Suite 360
Independence, MO 64057-8312

Phone

(816) 373-9240

Fax

(816) 373-9243

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Brian a Fidler

  • Professional Counselor
  • Independence, MO
  • NPI 1346682994
  NPD (past)
• Diakonos Inc

  • Mental Health Counselor
  • Independence, MO
  • NPI 1164458931

  Professional

  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1679645030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 LITTLE BLUE PKWY",
            "address_2": "SUITE 360",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578312",
            "telephone_number": "816-373-9240",
            "fax_number": "816-373-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 LITTLE BLUE PKWY",
            "address_2": "SUITE 360",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640578312",
            "telephone_number": "816-373-9240",
            "fax_number": "816-373-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNINE",
        "first_name": "CHRISTOPHER",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001012191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy G. Copeland, M.ED., LPC
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• Core Health, LLC
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• Caitlyn Cornell, LMSW
• Alexander Sebastian Cosio-Santillan, CADC II
• Kaylee Costanza
• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Professional Counselor in Independence, MO
• Providers in Independence, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.