Organization Active NPI

Onyx Regent Health & Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1720616212
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
ONYX REGENT HEALTH & WELLNESS, LLC
Practice address
351 Pascoe Blvd Ste 100
Bowling Green, KY 42104-6302
Phone
(270) 935-5234
Fax
(270) 935-5173
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Joy Denise Cornelius, PMHNPNPI 1942283635
Title
Owner
Phone
(270) 779-9408

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

351 Pascoe Blvd Ste 100
Bowling Green, KY 42104-6302

Mailing address

351 Pascoe Blvd Ste 100
Bowling Green, KY 42104-6302
Phone (270) 935-5234

Other practice location 1

109 E 11th Ave
Bowling Green, KY 42101-2630
Phone (270) 935-5234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200805001516 KY Part B Supplier - Clinic/Group Practice 9830514033 Receives reassigned benefits from 5 practitioners
Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Locations

351 Pascoe Blvd
Ste 100
Bowling Green, KY 42104
Phone (270) 935-5234

2459 Mount Victor Ln
Bowling Green, KY 42103
Phone (270) 599-0128

109 E 11th Ave
Bowling Green, KY 42101
Phone (270) 935-5234

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1720616212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 PASCOE BLVD STE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046302",
            "telephone_number": "270-935-5234",
            "fax_number": "270-935-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 PASCOE BLVD STE 100",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046302",
            "telephone_number": "270-935-5234",
            "fax_number": "270-935-5173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 E 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421012630",
            "country_code": "US",
            "telephone_number": "270-935-5234",
            "fax_number": "270-935-5173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONYX REGENT HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-779-9408",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.