Active NPI
Brett Delester Cornell
- Mental Health Counselor
- Chico, CA
National Provider Identifier
1851543623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 130 Yellowstone Dr Ste 110
Chico, CA 95973-5884 - Phone
- (530) 876-5991
- Fax
- (530) 879-5990
- NPI assigned
- Oct 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
130 Yellowstone Dr Ste 110
Chico, CA 95973-5884
Mailing address
130 Yellowstone Dr Ste 110
Chico, CA 95973-5884
Phone (530) 879-5991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1851543623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 YELLOWSTONE DR STE 110",
"city": "CHICO",
"state": "CA",
"postal_code": "959735884",
"telephone_number": "530-879-5991",
"fax_number": "530-879-5990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 YELLOWSTONE DR STE 110",
"city": "CHICO",
"state": "CA",
"postal_code": "959735884",
"telephone_number": "530-876-5991",
"fax_number": "530-879-5990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "BRETT",
"middle_name": "DELESTER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-10",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.