PAMELA ANN CORNWELL (NPI# 1215064753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215064753 |
| Entity Type | Individual |
| Full Name | PAMELA ANN CORNWELL |
| Credential | LCMFT |
| Practice Address |
4155 E Harry St Wichita KS 67218-3725 |
| Mailing Address |
509 E Elm St Salina KS 67401-2353 |
| Practice Telephone | 8004231342 |
| Practice Fax Number | 7856283113 |
| Mailing Telephone | 8004231342 |
| Mailing Fax Number | 7856283113 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 233 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200438690C | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 423 Se 10th St, Newton, KS 671144409 | 8004231342 | 7856283113 |
| 119 Jones St, El Dorado, KS 670421469 | 8004231342 | 7856283113 |
| 1221 E 12th Ave, Emporia, KS 668013321 | 8004231342 | 7856283113 |
| 1110 J C St, Garden City, KS 678466345 | 8004231342 | 7856283113 |
| 3000 Broadway Ave, Hays, KS 676011916 | 8004231342 | 7856283113 |
| 2008 11th St, Great Bend, KS 675304419 | 8004231342 | 7856283113 |
| 2140 N Kansas Ave Ste B, Liberal, KS 679012460 | 8004231342 | 7856283113 |
| 1509 Avenue P Ste B, Dodge City, KS 678017012 | 8004231342 | 7856283113 |
| 904 Broadway, Concordia, KS 669013502 | 8004231342 | 7856283113 |
| 180 W 5th St, Colby, KS 677012313 | 8004231342 | 7856283113 |
| 501 N Monroe St, Hutchinson, KS 675011345 | 8004231342 | 7856283113 |
| 1421 W 8th St, Wellington, KS 671524736 | 8004231342 | 7856283113 |
| 222 Southwind Pl, Manhattan, KS 665033123 | 8004231342 | 7856283113 |
| 1013 W 8th St Ste A, Junction City, KS 664412281 | 8004231342 | 7856283113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558753152 | Pamela Cornwell | Nurse Practitioner | 715 Wabash Ave, Vincennes, IN 47591-3216 | 2015-02-19 |
| Street Address |
4155 E HARRY ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063455525 | Jennifer Voth | Counselor | 4155 E Harry St, Wichita, KS 67218-3725 | 2006-06-13 |
| 1063021871 | Juan Francisco Coy Teni | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2020-07-28 |
| 1790393510 | Jacob Mizell | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2020-07-17 |
| 1780223347 | Jessie Rojas | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-12-31 |
| 1245881044 | Jaymes Michael Stewart | Marriage & Family Therapist | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-09-23 |
| 1578025763 | Michele Hansen | Counselor | 4155 E Harry St, Wichita, KS 67218-3725 | 2019-04-05 |
| 1538635644 | Jacob Kordonowy | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-10-16 |
| 1164907663 | Christa Gosnell | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-10-01 |
| 1417439233 | Richard Waller | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-08-29 |
| 1902386220 | Valerie Lane Kabutu | Social Worker | 4155 E Harry St, Wichita, KS 67218-3725 | 2018-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647264 | Wichita Therapy Stop | Marriage & Family Therapist | 530 N Ridge Rd Ste A, Wichita, KS 67212-6576 | 2020-10-21 |
| 1689272080 | Todd Michael Hook | Marriage & Family Therapist | 15903 E Rosewood St, Wichita, KS 67230-7607 | 2020-10-16 |
| 1023615853 | Gabrielle Jones | Marriage & Family Therapist | 825 N Waco Ave Ste 200, Wichita, KS 67203-3939 | 2020-10-05 |
| 1245845338 | Raneisha Hunter | Marriage & Family Therapist | 622 E. Douglasave, Wichita, KS 67202 | 2020-09-15 |
| 1861006769 | Sarah Lyon | Marriage & Family Therapist | 622 E Douglas Ave, Wichita, KS 67202-3504 | 2020-09-08 |
| 1639781750 | Breathelife Therapy That Heals LLC | Marriage & Family Therapist | 7200 W 13th St N Ste 103, Wichita, KS 67212-2943 | 2020-08-19 |
| 1548872666 | The Therapy Place, LLC | Marriage & Family Therapist | 7200 W 13th St N Ste 105, Wichita, KS 67212-2943 | 2020-08-19 |
| 1265043681 | Terry Lee Robey | Marriage & Family Therapist | 514 N Dodge Ave, Wichita, KS 67203-5905 | 2020-08-10 |
| 1508499633 | Ashley Therapy Solutions, LLC | Marriage & Family Therapist | 550 N 159th St E Ste 128, Wichita, KS 67230-7568 | 2020-02-17 |
| 1811527948 | Echo Edwards Wentz | Marriage & Family Therapist | 3121 N Cromwell Dr, Wichita, KS 67204-4445 | 2020-01-16 |
| Find all providers in WICHITA | ||||
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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.