Active NPI
Cornerstone Advocacy Service
- Community/Behavioral Health Agency
- Bloomington, MN
National Provider Identifier
1922295203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 13053
- Legal business name
- CORNERSTONE ADVOCACY SERVICE
- Practice address
- 1000 East 80TH St
Bloomington, MN 55420 - Phone
- (952) 884-0376
- Fax
- (952) 884-2135
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Jay Mathews, PSYD, LICSW
- Title
- Program Manager
- Phone
- (952) 646-6507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 13053 | MN | Primary |
Addresses
Primary practice location
1000 East 80TH St
Bloomington, MN 55420
Mailing address
1000 East 80TH St
Bloomington, MN 55420
Phone (952) 884-0376
National Provider Directory
National Provider DirectoryLocations
1000 E 80th St
Bloomington, MN 55420
Phone (651) 431-8991
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Bloomington, MN
- NPI 1669351631
-
- Marriage & Family Therapist
- Bloomington, MN
- NPI 1477786218
-
- Marriage & Family Therapist
- Minneapolis, MN
- NPI 1316181845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493942400000",
"number": "1922295203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EAST 80TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55420",
"telephone_number": "952-884-0376",
"fax_number": "952-884-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EAST 80TH ST",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "55420",
"telephone_number": "952-884-0376",
"fax_number": "952-884-2135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE ADVOCACY SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2017-05-05",
"status": "A",
"authorized_official_last_name": "MATHEWS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "952-646-6507",
"authorized_official_credential": "PSYD, LICSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "13053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.