Kerin Cornett, LCMHCA
Individual provider Active NPI Mental Health Counselor · Princeton, NC
NPI 1922855337 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1922855337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A19829 (NC)
- Practice address
- 6085 US Highway 70 E
Princeton, NC 27569-8411 - Phone
- (919) 912-1718
- NPI assigned
- May 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A19829 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proverbs Counseling and Coaching | Mental Health | Current |
Accepting new patients |
Locations
6085 US Highway 70 E
Princeton, NC 27569
Phone (919) 912-1718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A19829 | NC | Yes |
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
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All providers in Princeton, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.