Organization Active NPI

Cornerstone Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Fernandina Beach, FL
National Provider Identifier
1932447281
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LMHC7684 Issued in FL
Legal business name
CORNERSTONE COUNSELING CENTER, INC.
Practice address
1890 S 14TH St
Suite 303
Fernandina Beach, FL 32034-4740
Phone
(904) 206-4411
Fax
(904) 206-4433
NPI assigned
Jan 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Dr. Sharon Ann Chunn, PHD.NPI 1205897931
Title
President
Phone
(904) 206-4411

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
Community/Behavioral Health Agency 251S00000X LMHC7684 FL Primary

Addresses

Primary practice location

1890 S 14TH St
Suite 303
Fernandina Beach, FL 32034-4740

Mailing address

1890 S 14TH St
Suite 303
Fernandina Beach, FL 32034-4740
Phone (904) 206-4411

National Provider Directory

National Provider Directory

Locations

1890 S 14th St
Ste 303
Fernandina Beach, FL 32034
Phone (904) 206-4411

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1932447281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 S 14TH ST",
            "address_2": "SUITE 303",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344740",
            "telephone_number": "904-206-4411",
            "fax_number": "904-206-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 S 14TH ST",
            "address_2": "SUITE 303",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344740",
            "telephone_number": "904-206-4411",
            "fax_number": "904-206-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "CHUNN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-206-4411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "LMHC7684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.