MR. EDWARD F CORNELL III M.DIV.
NPI 1154699155
Counselor - Mental Health in New Haven, CT
About Mr. Edward F Cornell Iii M.div. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDWARD F CORNELL III M.DIV. (NPI 1154699155) is an individual mental health provider in New Haven, Connecticut and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Edward F Cornell Iii M.div. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Edward Cornell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Guilford, CT 06437
- Reassigned Medicare billing, Connecticut enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HAVEN, CT 06513
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edward Cornell's NPI number?
The NPI number for Edward Cornell is 1154699155. It was assigned to this individual provider in the NPPES registry on December 5, 2011.
Where is Edward Cornell located?
Edward Cornell practices at 501 Lombard St, New Haven, CT 06513. The listed phone number is (203) 787-2207.
What is Edward Cornell's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Edward Cornell enrolled in Medicare?
Yes. Edward Cornell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Edward Cornell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Cornell reassigns Medicare benefits to Shoreline Pastoral Counseling LLC (Guilford, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Cornell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Cornell accept?
Health plans from Anthem Blue Cross and Blue Shield list Edward Cornell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edward Cornell was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mr. Edward F Cornell III, M.DIV. · NPI 1154699155
Mental Health provider in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since December 5, 2011.
## Identity
- **NPI:** 1154699155 (Entity type: Individual)
- **Enumerated:** December 5, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 501 LOMBARD ST, New Haven, CT 06513-2910
- **Phone:** (203) 787-2207
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Shoreline Pastoral Counseling LLC (NPI 1497401673, Guilford, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 5, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1154699155) · Data from the CMS NPPES public registry.