Organization Active NPI

Cornerstone Lifeworks LLC

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1841837119
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
CORNERSTONE LIFEWORKS LLC
Practice address
320 Osuna Rd NE Ste H4
Albuquerque, NM 87107-5955
Phone
(505) 345-2778
NPI assigned
Dec 5, 2019
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Sam Newmon, LPCCNPI 1225337157
Title
Owner/Clinical Supervisor
Phone
(505) 350-3027

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

320 Osuna Rd NE Ste H4
Albuquerque, NM 87107-5955

Mailing address

320 Osuna Rd NE Ste H4
Albuquerque, NM 87107-5955
Phone (505) 345-2778

Other identifiers 1

IdentifierTypeStateIssuer
0171811OtherNMLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://samnewmon.theranest.com/home/signin

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240626000081 NM Part B Supplier - Clinic/Group Practice 5698219111 Receives reassigned benefits from 3 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1841837119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE H4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 OSUNA RD NE STE H4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075955",
            "telephone_number": "505-345-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE LIFEWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "NEWMON",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "OWNER/CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "505-350-3027",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "0171811",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://samnewmon.theranest.com/home/signin",
            "affiliation": "N",
            "endpointDescription": "EHR System",
            "address_1": "320 Osuna Rd NE Ste 4H",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871075955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.