Grace Cornelius

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1109 Issued in NM

Practice address

3301 Los Arboles Ave NE
Albuquerque, NM 87107-1943

Phone

(505) 800-7092

Fax

(505) 888-2851

NPI assigned

Apr 23, 2019

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

State licenses

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.

• Courageous Transformations, Inc

  • Methadone Clinic
  • Albuquerque, NM
  • NPI 1568838795
  NPD

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1831753011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CALLE PUEBLO PINADO NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203444",
            "telephone_number": "505-604-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LOS ARBOLES AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071943",
            "telephone_number": "505-800-7092",
            "fax_number": "505-888-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M. Cornali, DDS
• Adam Joseph Cornejo, DPM
• Anthony Cornejo
• Chaselyn Delaney Cornelius, MD
• Curtis R Cornelius, MD
• Steven Cornell
• Timothy Cornell, RPHD
• Cornerstone Case Management LLC
• Cornerstone Lifeworks LLC
• Shirley Ann Cornett, LMFT

• Peer Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.