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MICHAEL CORNWALL
NPI 1184921033
Counselor - Mental Health in Las Vegas, NV

Active since February 11, 2011PECOS EnrolledAccepts Medicare Assignment
2110 E FLAMINGO RD STE 207, LAS VEGAS, NV 89119(859) 321-4956(702) 472-8635 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michael Cornwall NPPES

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

MICHAEL CORNWALL (NPI 1184921033) is an individual mental health provider in Las Vegas, Nevada, licensed in Nevada (CP0225) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1184921033
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL CORNWALL
Location Address2110 E FLAMINGO RD STE 207Las Vegas, NV 89119-5191
Mailing Address2110 E Flamingo Rd Ste 207Las Vegas, NV 89119-5191 · (859) 321-4956 · Fax (702) 472-8635
Phone(859) 321-4956
Fax(702) 472-8635
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateFebruary 11, 2011
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1184921033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NV · CP0225
2110 E FLAMINGO RD STE 207, Las Vegas, NV 89119
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Michael Cornwall 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 ID9436590361
PECOS Enrollment IDI20240509002651
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Cornwall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michael Cornwall Phd LLC
Same address
Professional
2110 E FLAMINGO RD STE 207
Las Vegas, NV 89119
  • Reassigned Medicare billing, Nevada enrollment
NPI 1699531731 (859) 321-4956
Jlk Home Care, Inc
2.0 mi
In Home Supportive Care
900 E KAREN AVE, SUITE B210
Las Vegas, NV 89109
  • Reassigned Medicare billing, Nevada enrollment
  • 2 clinicians in this Medicare group
NPI 1679845549 (702) 893-2001

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

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

MICHAEL CORNWALL PHD LLC
Counselor (Professional)
2110 E FLAMINGO RD STE 207
LAS VEGAS, NV 89119
Clark County (859) 321-4956

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 Michael Cornwall's NPI number?

The NPI number for Michael Cornwall is 1184921033. It was assigned to this individual provider in the NPPES registry on February 11, 2011.

Where is Michael Cornwall located?

Michael Cornwall practices at 2110 E Flamingo Rd Ste 207, Las Vegas, NV 89119. The listed phone number is (859) 321-4956.

What is Michael Cornwall's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Cornwall enrolled in Medicare?

Yes. Michael Cornwall 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 organizations bill Medicare for Michael Cornwall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cornwall reassigns Medicare benefits to 2 organizations: Michael Cornwall Phd LLC (Las Vegas, NV) and Jlk Home Care, Inc (Las Vegas, NV). Each 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 Michael Cornwall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Cornwall accept?

Health plans from Molina Healthcare list Michael Cornwall 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 Michael Cornwall was last updated on April 23, 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.