Organization Active NPI

Cornerstone Clinic, LLC

  • Clinical Social Worker
  • Salina, KS
National Provider Identifier
1912434184
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4044 Issued in KS
Legal business name
CORNERSTONE CLINIC, LLC
Practice address
631 E Crawford St Ste 209
Salina, KS 67401-5116
Phone
(785) 452-2034
Fax
(785) 404-6365
NPI assigned
May 17, 2017
Last updated
May 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Authorized official

Name
Mrs. Jenna Krehbiel, MSW LSCSWNPI 1407055635
Title
Clinical Social Worker/Owner
Phone
(785) 452-2034

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 4044 KS Primary

Addresses

Primary practice location

631 E Crawford St Ste 209
Salina, KS 67401-5116

Mailing address

631 E Crawford St Ste 209
Salina, KS 67401-5116
Phone (785) 452-2034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190606001130 KS Part B Supplier - Clinic/Group Practice 6002149010 Receives reassigned benefits from 1 practitioner
Practice locations: Salina, KS

National Provider Directory

National Provider Directory

Locations

631 E Crawford St
Ste 209
Salina, KS 67401
Phone (785) 404-3076

Practitioners & affiliated clinicians

Practitioners 1

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": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494979200000",
    "number": "1912434184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E CRAWFORD ST STE 209",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015116",
            "telephone_number": "785-452-2034",
            "fax_number": "785-404-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E CRAWFORD ST STE 209",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674015116",
            "telephone_number": "785-452-2034",
            "fax_number": "785-404-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2017-05-17",
        "status": "A",
        "authorized_official_last_name": "KREHBIEL",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "785-452-2034",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "4044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.