Individual provider Active NPI

Kerin Cornett, LCMHCA

  • Mental Health Counselor
  • Princeton, NC
National Provider Identifier
1922855337
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19829 Issued in NC
Practice address
6085 US Highway 70 E
Princeton, NC 27569-8411
Phone
(919) 912-1718
NPI assigned
May 2, 2024
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19829 NC Primary

Addresses

Primary practice location

6085 US Highway 70 E
Princeton, NC 27569-8411

Mailing address

172 Lakeview Estates Dr
Princeton, NC 27569-9215
Phone (919) 912-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A19829NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Proverbs Counseling and Coaching Mental Health CurrentSince May 7, 2024 Accepting new patients

Locations

6085 US Highway 70 E
Princeton, NC 27569
Phone (919) 912-1718

Organizations & group practices 1

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": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1922855337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 LAKEVIEW ESTATES DR",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275699215",
            "telephone_number": "919-912-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 US HIGHWAY 70 E",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275698411",
            "telephone_number": "919-912-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "KERIN",
        "name_prefix": "Mrs.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.