Jodi Ann Cornelius, LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017728 Issued in MI

Practice address

16519 Doe Dr NE
Cedar Springs, MI 49319

Phone

(269) 779-6199

NPI assigned

Oct 29, 2019

Last updated

Oct 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1609412840
  NPD (past)
• Community Mental Health for Central Michigan

  • Psychiatry Physician
  • Mt Pleasant, MI
  • NPI 1881622892
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1689218158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16519 DOE DR NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198155",
            "telephone_number": "269-779-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16519 DOE DR NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "49319",
            "telephone_number": "269-779-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493079501",
            "country_code": "US",
            "telephone_number": "231-796-5825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 S 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "49307",
            "country_code": "US",
            "telephone_number": "231-796-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "JODI",
        "middle_name": "ANN",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centria Healthcare
• Ling Lenia Chen
• Cherry Street Services Inc (Cedar Springs School Health Center)
• Cherry Street Services, Inc. (Cherry Health - Cedar Springs High School Health Center)
• Chloe Marie Coates
• Country Haven
• Krista Courser, BSW
• Debra Kay Couturier, CD, PCD
• Thomas Bernard Cox, P.A.
• Nancy Ann Crabbs

• Professional Counselor in Cedar Springs, MI
• Providers in Cedar Springs, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.