NPIMap

Organization Active NPI

Cornerstone Counseling & Consulting, P.C,

  • Counseling Psychologist
  • Fort Wayne, IN
National Provider Identifier
1801067012
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
20041203A Issued in IN
Legal business name
CORNERSTONE COUNSELING & CONSULTING, P.C,
Practice address
10315 Dawsons Creek Blvd
Suite F
Fort Wayne, IN 46825-1912
Phone
(260) 387-6340
NPI assigned
Mar 14, 2008
Last updated
Jan 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Dr. Robert Paul Heck, PH.D.NPI 1386711984
Title
President
Phone
(260) 387-6340

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X 20041203A IN Primary
Counseling PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC1900X 5386 OH

Addresses

Primary practice location

10315 Dawsons Creek Blvd
Suite F
Fort Wayne, IN 46825-1912

Mailing address

10315 Dawsons Creek Blvd
Suite F
Fort Wayne, IN 46825-1912
Phone (260) 387-6340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080422000284 OH Part B Supplier - Clinic/Group Practice 9931287646 Receives reassigned benefits from 1 practitioner
Practice locations: Paulding, OH
O20090225000311 IN Part B Supplier - Clinic/Group Practice 9931287646 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Wayne, IN

National Provider Directory

National Provider Directory

Locations

10315 Dawsons Creek Blvd
Ste F
Fort Wayne, IN 46825
Phone (260) 387-6340

208 Columbus St
Hicksville, OH 43526
Phone (419) 542-6692

1030 W Wayne St
Paulding, OH 45879
Phone (260) 387-6340

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1801067012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD",
            "address_2": "SUITE F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10315 DAWSONS CREEK BLVD",
            "address_2": "SUITE F",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251912",
            "telephone_number": "260-387-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING & CONSULTING, P.C,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "HECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-387-6340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IN",
            "license": "20041203A",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "5386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.