REBECCA J CORNELL LSATP, CSAC
NPI 1073082962
Counselor - Addiction (Substance Use Disorder) in Midlothian, VA

Q: What is Rebecca Cornell's NPI number?

The NPI number for Rebecca Cornell is 1073082962. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Q: What is Rebecca Cornell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Cornell was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 20, 2018PECOS Enrolled

5001 W VILLAGE GREEN DR STE 205, MIDLOTHIAN, VA 23112(866) 934-7450 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2022, Nov 20, 2018 (2 updates tracked since 2018).

On this page

About Rebecca J Cornell Lsatp, Csac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA J CORNELL LSATP, CSAC (NPI 1073082962) is an individual addiction (substance use disorder) provider in Midlothian, Virginia, licensed in Virginia (0718000319) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1073082962

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameREBECCA J CORNELLCredential: LSATP, CSAC

Location Address5001 W VILLAGE GREEN DR STE 205Midlothian, VA 23112-4801

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600

Phone(866) 934-7450

Sole ProprietorYes

Enumeration DateNovember 20, 2018

Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration

NPPES CertifiedMarch 26, 2024

✔ NPI 1073082962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in VA · 0718000319✔ Licensed in VA · 0710101660

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0718000319 (VA)

5001 W VILLAGE GREEN DR STE 205, Midlothian, VA 23112

Open in Google Maps ↗

Secondary Practice Locations 2

Location 12101 E Parham Rd Ste 105Richmond, VA 23228-2234 · Phone (888) 978-3801 · Fax (888) 978-3802

Location 211745 Jefferson Ave Ste 10BNewport News, VA 23606-4418 · Phone (866) 934-7450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebecca J Cornell Lsatp, Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHLEEN S LEVENSTON L.C.S.W.

Social Worker