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MR. EDWARD F CORNELL III M.DIV.
NPI 1154699155
Counselor - Mental Health in New Haven, CT

Active since December 05, 2011PECOS EnrolledAccepts Medicare Assignment
501 LOMBARD ST, NEW HAVEN, CT 06513(203) 787-2207 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1154699155
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EDWARD F CORNELL IIICredential: M.DIV.
Location Address501 LOMBARD STNew Haven, CT 06513-2910
Mailing Address501 Lombard StNew Haven, CT 06513-2910 · (203) 787-2207
Phone(203) 787-2207
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 5, 2011
✔ NPI 1154699155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
501 LOMBARD ST, New Haven, CT 06513
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Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID4880032994
PECOS Enrollment IDI20240409003527
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 20

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

JESSICA R MYLES
Counselor (Professional)
501 LOMBARD ST
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 787-2207
ALIYAH CUMMINGS
Developmental Therapist
501 LOMBARD ST
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 787-2207
MRS. GLADYS E. VARGAS-GALLAGHER LMSW
Social Worker (Clinical)
501 LOMBARD ST
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 787-2207
JOELLA MANNA
Social Worker (Clinical)
501 LOMBARD ST
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 435-4306
JANINE LAURA HITCHENS PARKER LCSW
Social Worker (Clinical)
501 LOMBARD ST
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 787-2207
MR. LUIS ENRIQUE GONZALEZ
Social Worker (School)
501 LOMBARD ST
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 874-6270
EDGARDO RODRIGUEZ
Social Worker (Clinical)
501 LOMBARD ST
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 787-2207
MS. CHRISTINE D. PAWLIK LADC; MS; MED, LPC
Counselor (Professional)
501 LOMBARD ST
NEW HAVEN, CT 06513
South Central Connecticut Planning Region (203) 787-2207

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.

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.