Annette Marie Cornish

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ANNETTE MARIE CORNISH

Practice address

9937 Greywell Ter
Midlothian, VA 23112-3676

Phone

(804) 305-5838

Fax

(703) 799-3661

NPI assigned

Jan 7, 2020

Organization subpart

Yes

Parent organization

DUST TO DESTINY COUNSELING & WELLNESS LLCAs reported in NPPES

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

Authorized official

Name

Annette Marie Cornish, LPCNPI 1619539459

Title

Licensed Professional Counselor

Phone

(804) 305-5868

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

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

• Annette Marie Cornish, LPC

  • Professional Counselor
  • Midlothian, VA
  • NPI 1619539459
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1710527833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9937 GREYWELL TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123676",
            "telephone_number": "804-305-5838",
            "fax_number": "703-799-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9937 GREYWELL TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123676",
            "telephone_number": "804-305-5838",
            "fax_number": "703-799-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE MARIE CORNISH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUST TO DESTINY COUNSELING & WELLNESS LLC",
        "enumeration_date": "2020-01-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "CORNISH",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "804-305-5868",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure.simplepractice.com",
            "address_1": "9937 Greywell Ter",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231123676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure.simplepractice.com",
            "address_1": "9937 Greywell Ter",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231123676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.