Organization Active NPI

Cornerstone Counseling Group of Mansfield

  • Clinical Social Worker
  • Mansfield, OH
National Provider Identifier
1891917670
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I0008844 Issued in OH
Legal business name
CORNERSTONE COUNSELING GROUP OF MANSFIELD
Practice address
1221 S Trimble Rd
A-2
Mansfield, OH 44907-2200
Phone
(419) 756-0803
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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

Authorized official

Name
Heather L Nicol, LISW
Title
President and Ceo
Phone
(419) 496-4446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X I0008844 OH Primary

Addresses

Primary practice location

1221 S Trimble Rd
A-2
Mansfield, OH 44907-2200

Mailing address

1221 S Trimble Rd
A-2
Mansfield, OH 44907-2200
Phone (419) 756-0803

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1891917670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S TRIMBLE RD",
            "address_2": "A-2",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072200",
            "telephone_number": "419-756-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S TRIMBLE RD",
            "address_2": "A-2",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072200",
            "telephone_number": "419-756-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING GROUP OF MANSFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "NICOL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "419-496-4446",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I0008844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.