Miriam Whitney Cornell, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3738 Issued in MN

Practice address

1000 County Road E W
Shoreview, MN 55126-8054

Phone

(612) 254-5963

NPI assigned

Apr 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Transcend Psychotherapy, PLLC

  • Psychologist
  • Minneapolis, MN
  • NPI 1144877143

  Marriage & Family Therapist, MN

  Medicare reassignment NPD
• Expanding Circles, Inc

  • Marriage & Family Therapist
  • Shoreview, MN
  • NPI 1598436198
  NPD Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1730768417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 VAN DYKE ST",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104740",
            "telephone_number": "612-280-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COUNTY ROAD E W",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268054",
            "telephone_number": "612-254-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "MIRIAM",
        "middle_name": "WHITNEY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayla Jo Cole, DC
• Colleen Martens Endrizzi, Inc.
• Comfort Home Health Care Inc
• Complex Cares LLC
• Sheila Conlin, LP, LMFT
• Create Space Meditate, LLC
• Critical Care Services, Inc
• Crossroads: Solutions for Life LLC
• Caitlin Marie Dado, PHARMD
• Sydney Christine Daley, RD, CSSD

• Marriage & Family Therapist in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.