Active NPI
Jennifer Elizabeth Cornell, LMFT159945
- Mental Health Counselor
- Placerville, CA
National Provider Identifier
1699491506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMFT159945
- Practice address
- 5168 Honpie Rd
Placerville, CA 95667-8682 - Phone
- (530) 387-4975
- NPI assigned
- Oct 13, 2022
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMFT159945 | CA | Primary |
Addresses
Primary practice location
5168 Honpie Rd
Placerville, CA 95667-8682
Mailing address
5168 Honpie Rd
Placerville, CA 95667-8682
Phone (415) 279-7137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5168 Honpie Rd
Placerville, CA 95667-8682
Phone (530) 387-4975
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT159945 | CA | MD | Mental Health Counselor |
Organizations & group practices 1
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.
-
dba Shingle Springs Health and Wellness Center
- Health Service Clinic/Center
- Placerville, CA
- NPI 1245356674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1699491506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5168 HONPIE RD",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956678682",
"telephone_number": "415-279-7137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5168 HONPIE RD",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956678682",
"telephone_number": "530-387-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "LMFT159945",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-13",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT159945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.