Cornerstone Clinical Associates, LTD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180-002341 Issued in IL

Legal business name

CORNERSTONE CLINICAL ASSOCIATES, LTD

Practice address

300 S County Farm Rd
Suite E
Wheaton, IL 60187-2438

Phone

(630) 871-0770

Fax

(630) 871-0772

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Warren Bruce Matson, MS, LCPCNPI 1720257694

Title

Executive Director

Phone

(630) 871-0770

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren Bruce Matson, MSED, LCPC

  • Professional Counselor
  • Wheaton, IL
  • NPI 1720257694
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1689707440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 921",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601890921",
            "telephone_number": "630-871-0770",
            "fax_number": "630-871-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S COUNTY FARM RD",
            "address_2": "SUITE E",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872438",
            "telephone_number": "630-871-0770",
            "fax_number": "630-871-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINICAL ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "630-871-0770",
        "authorized_official_credential": "MS, LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180-002341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2220793",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coral Youker, D.C. LLC
• Marie Ellen Corcoran, D./O.
• Jeffrey Cordes
• Maria Alicia Cornejo Garcia, PSYD
• Cornerstone Caregiving East LLC
• Cornerstone Medical Group Inc
• Thomas A Cornwell, MD
• Kirsten Lynn Coronado
• Olivia Correa
• Marissa Corriero

• Community/Behavioral Health Agency in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.