MRS. JAQUELYNN ELIZABETH CORNELIUS LPC
NPI 1184374241
Counselor - Professional in Meridian, ID
About Mrs. Jaquelynn Elizabeth Cornelius Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JAQUELYNN ELIZABETH CORNELIUS LPC (NPI 1184374241) is an individual professional provider in Meridian, Idaho, licensed in Idaho (8684) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Jaquelynn Elizabeth Cornelius Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jaquelynn Cornelius reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baldwin City, KS 66006
- Reassigned Medicare billing, Kansas enrollment
- 8 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MERIDIAN, ID 83646
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 Jaquelynn Cornelius's NPI number?
The NPI number for Jaquelynn Cornelius is 1184374241. It was assigned to this individual provider in the NPPES registry on March 24, 2022.
Where is Jaquelynn Cornelius located?
Jaquelynn Cornelius practices at 2596 N Stokesberry Pl, Meridian, ID 83646. The listed phone number is (208) 918-1636.
What is Jaquelynn Cornelius's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jaquelynn Cornelius enrolled in Medicare?
Yes. Jaquelynn Cornelius is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jaquelynn Cornelius's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaquelynn Cornelius reassigns Medicare benefits to Willow Emotional & Relational Health, LLC (Baldwin City, KS). 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 Jaquelynn Cornelius's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaquelynn Cornelius accept?
Health plans from Providence Health Plan list Jaquelynn Cornelius 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 Jaquelynn Cornelius was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Jaquelynn Elizabeth Cornelius, LPC · NPI 1184374241
Professional provider in Meridian, Idaho. Individual provider, active in the CMS NPPES registry since March 24, 2022.
## Identity
- **NPI:** 1184374241 (Entity type: Individual)
- **Enumerated:** March 24, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 8684 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2596 N STOKESBERRY PL, Meridian, ID 83646-6114
- **Phone:** (208) 918-1636
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Willow Emotional & Relational Health, LLC (NPI 1003492729, Baldwin City, KS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2022
- **Other identifiers:** Medicaid 8684 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1184374241) · Data from the CMS NPPES public registry.