Organization Active NPI

Corner Stone

  • Professional Counselor
  • Winona, MN
National Provider Identifier
1821441734
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC00169 Issued in MN
Legal business name
CORNER STONE
Practice address
174 Main St
Winona, MN 55987-6573
Phone
(507) 421-0220
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Ms. Mary Helen Olson
Title
Ceo
Phone
(507) 689-0498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X CC00169 MN Primary

Addresses

Primary practice location

174 Main St
Winona, MN 55987-6573

Mailing address

174 Main St
Winona, MN 55987-6573

Other identifiers 1

IdentifierTypeStateIssuer
1487894481MedicaidMN

National Provider Directory

National Provider Directory

Locations

174 Main St
Winona, MN 55987
Phone (507) 421-0220

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1821441734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MAIN ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MAIN ST",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876573",
            "telephone_number": "507-421-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNER STONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-689-0498",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487894481",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

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