Cornelia Israel, LCPC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC4411 Issued in MD

Legal business name

CORNELIA ISRAEL, LCPC, LLC

Practice address

20 Pleasant Ridge Dr
Suite H
Owings Mills, MD 21117-2560

Phone

(443) 802-7816

NPI assigned

Feb 10, 2017

Organization subpart

No

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

Authorized official

Name

Cornelia Iolanda Israel, LCPCNPI 1174876320

Title

Mental Health Therapist

Phone

(443) 802-7816

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cornelia Iolanda Israel, LCPC

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1174876320
  NPD (past) Authorized official

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1972041911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GRANARY DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086367",
            "telephone_number": "443-802-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PLEASANT RIDGE DR",
            "address_2": "SUITE H",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211172560",
            "telephone_number": "443-802-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIA ISRAEL, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_middle_name": "IOLANDA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "443-802-7816",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.