Individual provider Active NPI

Courtney Erica Corniuk, LMFT

  • Marriage & Family Therapist
  • Argyle, TX
National Provider Identifier
1982241329
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204398 Issued in TX
Practice address
142 Old Town Blvd N Unit 200
Argyle, TX 76226-3954
Phone
(940) 294-7061
NPI assigned
Dec 4, 2019
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 127348 CA
Marriage & Family Therapist 106H00000X 204398 TX Primary

Addresses

Primary practice location

142 Old Town Blvd N Unit 200
Argyle, TX 76226-3954

Mailing address

4501 Sandera LN
Flower Mound, TX 75028-2038
Phone (714) 274-3198

Other practice location 1

1301 Pine Ave
Long Beach, CA 90813-3124
Phone (562) 595-1159

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
127348CAMDMarriage & Family Therapist
204398TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brad Cullum Counseling PLLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

142 Old Town Blvd N
Ste 200
Lantana, TX 76226
Phone (940) 204-8935

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": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1982241329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SANDERA LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282038",
            "telephone_number": "714-274-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 OLD TOWN BLVD N UNIT 200",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "762263954",
            "telephone_number": "940-294-7061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133124",
            "country_code": "US",
            "telephone_number": "562-595-1159",
            "fax_number": "562-486-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNIUK",
        "first_name": "COURTNEY",
        "middle_name": "ERICA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "127348",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Argyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.