Cornerstone Christian Counseling

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

AZ LPC 1342 Issued in AZ

Legal business name

CORNERSTONE CHRISTIAN COUNSELING

Practice address

7660 E Broadway Blvd
Suite 207
Tucson, AZ 85710-3774

Phone

(520) 885-0557

Fax

(520) 885-1157

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Andrea A. Russell, PH.D.NPI 1013059526

Title

Licensed Psychotherapist

Phone

(520) 885-0557

Specialties & licenses 11

Addresses

Locations

Practitioners 3

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

• Andrea A. Russell, PH.D.

  • EEG Technician
  • Tucson, AZ
  • NPI 1013059526

  Psychologist

  NPD (past) Authorized official
• Eugene E. Campbell, PH.D.

  • EEG Specialist/Technologist
  • Tucson, AZ
  • NPI 1518179282

  Adult Development & Aging

  NPD (past)
• Jerry Richard Day, ED.D

  • Counseling Psychologist
  • Tucson, AZ
  • NPI 1326196494
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1952443467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 E BROADWAY BLVD",
            "address_2": "SUITE 207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103774",
            "telephone_number": "520-885-0557",
            "fax_number": "520-885-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 E BROADWAY BLVD",
            "address_2": "SUITE 207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103774",
            "telephone_number": "520-885-0557",
            "fax_number": "520-885-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "520-885-0557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "AZ LPC  1342",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        },
        {
            "code": "2472E0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other, EEG",
            "state": "AZ",
            "license": "AZ LPC 1342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford W Cornelius, DDS
• Curtis Alan Cornelius, D.D.S.
• Judith Anne Cornell, LPC
• Cornerstone Behavioral Health Tucson (Cornerstone Behavioral Health El Dorado)
• Cornerstone Caregiving West LLC
• Cornerstone Dental Group PLLC (Tucson Dental Studio)
• Cornerstone Health, LLC
• Cornerstone Hospital of Southeast Arizona LLC (Cornerstone Hospital of Southeast Arizona)
• Eric G Cornidez, M.D.
• Cybil Rae Corning, MD

• Clinical Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.