DR. CORINNA M COSTELLO (NPI# 1164431136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164431136 |
| Entity Type | Individual |
| Full Name | DR. CORINNA M COSTELLO |
| Other Name | CORI COSTELLO |
| Credential | PHD, LPC, ATR-BC |
| Practice Address |
10130 Mallard Creek Rd Ste 300 Charlotte NC 28262-6001 |
| Practice Telephone | 9802571114 |
| Mailing Telephone | 9802571114 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
S12959 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
180-005808 | IL | Behavioral Health & Social Service Providers |
| Street Address |
10130 MALLARD CREEK RD STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244481 | Creating Change, Pllc | Counselor | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2020-10-28 |
| 1053951236 | Keystone Therapy and Consulting Pllc | Social Worker | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2020-01-15 |
| 1093354391 | Home Care Freedom, LLC | In Home Supportive Care | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2020-01-03 |
| 1679111280 | Karen Rezza | Home Health Aide | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2019-12-13 |
| 1699311340 | Living Legacies Therapeutic Services Pllc | Social Worker | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2019-11-18 |
| 1124663547 | Green Pastures Home Care | In Home Supportive Care | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2019-11-08 |
| 1821647686 | Dontrease Monique Thomas | Counselor | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2019-09-05 |
| 1104486117 | Edwina Denise Polk | Counselor | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2019-06-20 |
| 1396223160 | Balanced Mindset Counseling and Psychological Svcs, Pllc | Psychologist | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2018-08-02 |
| 1083137517 | Blissful Counseling & Consulting, Pllc | Clinic/Center | 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 | 2017-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104008 | Kay Counseling, Pllc | Counselor | 9635 Southern Pine Blvd Ste 110, Charlotte, NC 28273-5545 | 2020-11-04 |
| 1588265144 | Blakeney Behavioral Health LLC | Counselor | 4401 E Independence Blvd Ste 208g, Charlotte, NC 28205-7485 | 2020-11-02 |
| 1386243046 | Choice Counseling & Consulting, Pllc | Counselor | 9716 Rea Rd # B1167, Charlotte, NC 28277-6789 | 2020-10-22 |
| 1831797448 | Kiara Grier | Counselor | 6724 Lynmont Dr, Charlotte, NC 28212-5817 | 2020-10-15 |
| 1285231530 | Aliyah Shea Grinage | Counselor | 8815 University East Dr Ste 100, Charlotte, NC 28213-4106 | 2020-10-08 |
| 1386251213 | Silver Lining Counseling | Counselor | 3315 Springbank Ln Ste 302, Charlotte, NC 28226-3198 | 2020-09-24 |
| 1851907364 | Clarissa Jackson | Counselor | 10140 Hawkeye Dr, Charlotte, NC 28273-4536 | 2020-09-20 |
| 1437764529 | Kristyn Bly | Counselor | 6929 Weirton Pl, Charlotte, NC 28226-9502 | 2020-09-15 |
| 1740892546 | Marketa Winfield | Counselor | 7405 Hamilton Bridge Rd, Charlotte, NC 28278-6734 | 2020-08-21 |
| 1336751874 | Charidi Lyn Jamison | Counselor | 2730 E Wt Harris Blvd Ste 201, Charlotte, NC 28213-4063 | 2020-08-17 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.