Active NPI
Cornerstone Care, Inc.
- Mental Health Counselor
- Woodstock, IL
National Provider Identifier
1730201054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CORNERSTONE CARE, INC.
- Practice address
- 645 McHenry Ave
Woodstock, IL 60098-2922 - Phone
- (815) 334-0411
- Fax
- (815) 334-0413
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Ann Klouda, LCSW
- Title
- General Partner
- Phone
- (815) 334-0411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IL | Primary |
Addresses
Primary practice location
645 McHenry Ave
Woodstock, IL 60098-2922
Mailing address
645 McHenry Ave
Woodstock, IL 60098-2922
Phone (815) 334-0411
Other names 1
- Cornerstone Counseling
National Provider Directory
National Provider DirectoryLocations
645 McHenry Ave
Woodstock, IL 60098
Phone (815) 334-0411
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Woodstock, IL
- NPI 1225028400
-
- Clinical Social Worker
- Woodstock, IL
- NPI 1386012730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1730201054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 MCHENRY AVE",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600982922",
"telephone_number": "815-334-0411",
"fax_number": "815-334-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 MCHENRY AVE",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600982922",
"telephone_number": "815-334-0411",
"fax_number": "815-334-0413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "KLOUDA",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "815-334-0411",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.