NPIMap

Organization Active NPI

Cornerstone Behavioral Health LLC

  • Mental Health Counselor
  • Lakewood, OH
National Provider Identifier
1700407517
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CORNERSTONE BEHAVIORAL HEALTH LLC
Practice address
17415 Northwood Ave #201
Lakewood, OH 44107-3909
Phone
(216) 302-4077
Fax
(888) 684-5911
NPI assigned
May 4, 2020
Last updated
Jan 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Caleb Folkerts, LPCCNPI 1326691403
Title
Owner
Phone
(618) 973-1889

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

17415 Northwood Ave #201
Lakewood, OH 44107-3909

Mailing address

14837 Detroit Ave # 193
Lakewood, OH 44107-3909
Phone (618) 973-1889

Other practice location 1

17415 Northwood Ave Ste 201
Lakewood, OH 44107-2268
Phone (216) 302-4077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230512001969 OH Part B Supplier - Clinic/Group Practice 4385000587 Receives reassigned benefits from 11 practitioners
Practice locations: Lakewood, OH

National Provider Directory

National Provider Directory

Locations

780 E 185th St
Cleveland, OH 44119
Phone (216) 302-4077

14837 Detroit Ave
Lakewood, OH 44107
Phone (216) 221-6000

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1700407517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14837 DETROIT AVE # 193",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073909",
            "telephone_number": "618-973-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17415 NORTHWOOD AVE #201",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073909",
            "telephone_number": "216-302-4077",
            "fax_number": "888-684-5911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17415 Northwood Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441072268",
            "country_code": "US",
            "telephone_number": "216-302-4077",
            "fax_number": "888-684-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNERSTONE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-04",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "FOLKERTS",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-973-1889",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.