Licet Corniel

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

865 E 4TH St
Bethlehem, PA 18015-1935

Phone

(347) 527-8139

Fax

(610) 419-8088

NPI assigned

Mar 20, 2019

Last updated

Mar 26, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1750841433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WESTMINSTER ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092123",
            "telephone_number": "484-795-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 E 4TH ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151935",
            "telephone_number": "347-527-8139",
            "fax_number": "610-419-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIEL",
        "first_name": "LICET",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core 4 Healing and Wellness, LLC
• Core Physical Therapy Inc
• Rebecca Mary Corkedale, DO
• Joshua Cornelius
• Jenna Cornell
• Janae Christina Cornwall, MD
• Christian Corona, MS, ATC
• Ramon Coronado, MA
• Cara Corpora, D.O.
• Kathleen Corpora, ATC

• Counselor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.