CORNERSTONE COUNSELING CENTER, PLLC – NPI #1386461077
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CORNERSTONE COUNSELING CENTER, PLLC is an AHC clinic located in BRAINERD, MN. NPPES has assigned the NPI number 1386461077 to CORNERSTONE COUNSELING CENTER, PLLC on September 24, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was last updated on Sep 25, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CORNERSTONE COUNSELING CENTER, PLLC below.

NPI Profile for
CORNERSTONE COUNSELING CENTER, PLLC

NPI Number
1386461077
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CORNERSTONE COUNSELING CENTER, PLLC
Primary location
18510 MN-371
SUITE D
BRAINERD, MN 56401
Phone: (218) 838-4209 Fax:
Mailing address
11636 FAIRWAY RD
EAST GULL LAKE, MN 56401-2099
Phone: (218) 838-4209 Fax:
Organization Subpart
No
Authorized Official
NICHOLAS GAMMELLO
OWNER
Phone: (218) 838-4209
Updated
Certification Date
Sep 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.