Individual provider Active NPI

Diana Jones Cornell, ACMHC

  • Mental Health Counselor
  • Price, UT
National Provider Identifier
1881064079
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7120976-6004 Issued in UT
Practice address
575 E. 100 S.
Price, UT 84501
Phone
(435) 637-2358
NPI assigned
Sep 30, 2015
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7120976-6006 UT
Mental Health Counselor 101YM0800X 7120927-6009 UT
Mental Health Counselor 101YM0800X 7120976-6004 UT Primary

Addresses

Primary practice location

575 E. 100 S.
Price, UT 84501

Mailing address

PO Box 867
Price, UT 84501-0867
Phone (435) 637-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122004149 UT Practitioner - Mental Health Counselor 8527410844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7120976-6006UTMDAddiction (Substance Use Disorder) Counselor
7120927-6009UTMDMental Health Counselor
7120976-6004UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Four Corners Community Behavioral Health, Inc. CurrentSince Jul 4, 2021 Accepting new patients
Best Life Therapy CurrentSince Jan 9, 2024 Accepting new patients
Four Corners Community Behavioral Health Inc PastSince Jul 4, 2021 Accepting new patients

Locations

575 E 1st S
Price, UT 84501
Phone (435) 637-2358

245 Highway 198
Ste 5
Salem, UT 84653
Phone (385) 208-7701

1285 N Canyon Creek Pkwy
Spanish Fork, UT 84660

79 W 900 N
Ste D
Springville, UT 84663
Phone (385) 208-7701

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1881064079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845010867",
            "telephone_number": "435-637-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 E. 100 S.",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "84501",
            "telephone_number": "435-637-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELL",
        "first_name": "DIANA",
        "middle_name": "JONES",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "7120976-6006",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7120927-6009",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7120976-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Price, UT

Sources for this page

Verify at the official NPI Registry.