Matthew Gerald Cornu, MS

Key facts

NPI

1922639129

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

287652 (KY)

Practice address

1351 Newtown Pike BLDG 1
Lexington, KY 40511-1277

Phone

(859) 253-1686

NPI assigned

Jan 28, 2020

Sex

Male

Sole proprietor

No

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 and National Provider Directory roles.

• New Vista of the Bluegrass Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Frankfort, KY · NPI 1790731081
  Medicare reassignment Care Compare group NPD KY
• New Vista of the Bluegrass Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Lexington, KY · NPI 1023359783
  Care Compare group NPD
• New Vista of the Bluegrass Mental Health Clinic/Center (Including Community Mental Health Center) · Lexington, KY · NPI 1366482317
  NPD

Medicare Care Compare profile

Specialty

Marriage and Family Therapist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Vista of the Bluegrass Inc (55 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 30, 2023.

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1922639129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 NEWTOWN PIKE BLDG 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111277",
            "telephone_number": "859-253-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 NEWTOWN PIKE BLDG 1",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111277",
            "telephone_number": "859-253-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNU",
        "first_name": "MATTHEW",
        "middle_name": "GERALD",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-28",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "287652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

• Mellanie J Cornett, LPN
• Nikki Lynn Cornett, APRN
• Stephen Daniel Cornett, MS LPP
• Steven George Allen Cornett, APRN
• Allen Lee Cornish III, M.D.
• Linda J Coronado
• Dianne Corse, MPT
• Vanessa Cortez, CSW
• Ashley Corum, APRN
• Maria Laura Cosentino Roa, M.D.

All providers in Lexington, KY · Marriage & Family Therapist in Kentucky