CORNERSTONE WELLNESS CENTER LLC – Mental Health Counselor, NPI 1730292996

CORNERSTONE WELLNESS CENTER LLC is a healthcare provider. based in Clinton, Iowa. specializing in Mental Health Counselor. The NPI Number for CORNERSTONE WELLNESS CENTER LLC is 1730292996

Main info

Organization
Name
CORNERSTONE WELLNESS CENTER LLC
NPI
1730292996
Phone
(563) 243-6054
Address
1523 S BLUFF BLVD
Authorized Official
MR. THOMAS LEE MILLARD PSYCHOLOGIST P.H.D
Enumeration Date
15 August 2006
Last Update Date
20 September 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for CORNERSTONE WELLNESS CENTER LLC

  • 1523, South Bluff Boulevard, Clinton, Clinton County, Iowa, 52732, United States

    CLINTON, IA 527326549

    Phone: (563) 243-6054

    Fax: (563) 243-6828

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (255 days ago).

Enrollment records

1

Earliest due date

2025-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040928001119OClinic/Group PracticeIA2025-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52732)

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Reviews

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Frequently asked questions

How is CORNERSTONE WELLNESS CENTER LLC identified in CMS data?
CMS-hosted NPPES data lists CORNERSTONE WELLNESS CENTER LLC with NPI 1730292996.
Is CORNERSTONE WELLNESS CENTER LLC listed as active for patients and plans?
The listing shows CORNERSTONE WELLNESS CENTER LLC as active in the NPI system.
What is CORNERSTONE WELLNESS CENTER LLC's specialty?
The listing groups CORNERSTONE WELLNESS CENTER LLC with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect CORNERSTONE WELLNESS CENTER LLC on a map?
Expect Clinton, Iowa as a primary anchor for CORNERSTONE WELLNESS CENTER LLC unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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