KEVIN CORNELIUS MA - NPI 1073110086 - Marriage & Family Therapist in Mountain View, CA

Q: What is Kevin Cornelius's NPI number?

The NPI number for Kevin Cornelius is 1073110086. It was assigned to this individual provider in the NPPES registry on October 2, 2020.

Q: What is Kevin Cornelius's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kevin Cornelius enrolled in Medicare?

No. Kevin Cornelius has opted out of Medicare through January 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kevin Cornelius was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

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About Kevin Cornelius Ma NPPES

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

KEVIN CORNELIUS MA (NPI 1073110086) is an individual marriage & family therapist in Mountain View, California, licensed in California (122258) and active in the NPI registry since October 2020. He has opted out of Medicare through January 3, 2028.

NPPES Registry Identity

NPI1073110086

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameKEVIN CORNELIUSCredential: MA

Location Address2660 SOLACE PL STE D2Mountain View, CA 94040-4337

Mailing Address2660 Solace Pl Ste D2Mountain View, CA 94040-4337 · (650) 206-9049

Phone(650) 206-9049

Sole ProprietorYes

Enumeration DateOctober 2, 2020

NPPES CertifiedOctober 2, 2020

✔ NPI 1073110086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 122258

Definition

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.

2660 SOLACE PL STE D2, Mountain View, CA 94040

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kevin Cornelius Ma has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2024 through January 3, 2028.

Opt-Out Effective DateJanuary 3, 2024

Opt-Out In Effect ThroughJanuary 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

MICHELLE ILENE LI AMFT, APCC

Counselor (Mental Health)