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TANJA DAWN CORNELISON LCPC
NPI 1215188479
Counselor - Mental Health in Chubbuck, ID

Active since October 07, 2008PECOS Enrolled
265 E CHUBBUCK RD, CHUBBUCK, ID 83202(208) 237-1711(208) 237-9806 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tanja Dawn Cornelison Lcpc NPPES

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

TANJA DAWN CORNELISON LCPC (NPI 1215188479) is an individual mental health provider in Chubbuck, Idaho, licensed in Idaho (LCPC-6510) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215188479
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANJA DAWN CORNELISONCredential: LCPC
Location Address265 E CHUBBUCK RDChubbuck, ID 83202-5055
Mailing Address265 E Chubbuck RdChubbuck, ID 83202-5055 · (208) 237-1711 · Fax (208) 237-9806
Phone(208) 237-1711
Fax(208) 237-9806
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 7, 2008
Last NPPES UpdateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1215188479 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 ID · LCPC-6510
265 E CHUBBUCK RD, Chubbuck, ID 83202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanja Dawn Cornelison Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163902966
PECOS Enrollment IDI20260218004417
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 Reassignment

Medicare enrollment records show Tanja Cornelison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center Counseling, LLC
Same address
Mental Health
265 EAST CHUBBUCK
Chubbuck, ID 83202
  • Reassigned Medicare billing, Idaho enrollment
  • 18 clinicians in this Medicare group
NPI 1104374974 (208) 406-3399

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.

LANDON DUVAL LPC
Counselor (Professional)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Bannock County (208) 237-1711
MYA SHROLL PARAPROFESSIONAL
Behavior Technician
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Bannock County (208) 237-1711
RONDA HAUSER LMSW
Social Worker
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Bannock County (208) 237-1711
AUSTIN JOB PARAPROFESSIONAL
Counselor (Mental Health)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Bannock County (208) 237-1711
JADE LETOURNEAU LPC
Counselor (Professional)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Bannock County (208) 237-1711
JOANNE MARIE TRAMMEL OT
Occupational Therapist
265 E CHUBBUCK RD, STE A
CHUBBUCK, ID 83202
Bannock County (208) 417-0011
ASHLYNN HAYDEN OBORN LMSW
Social Worker
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Bannock County (208) 237-1711
MARYN PETERSON PARAPROFESSIONAL
Counselor (Mental Health)
265 E CHUBBUCK RD
CHUBBUCK, ID 83202
Bannock County (208) 237-1711

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 Tanja Cornelison's NPI number?

The NPI number for Tanja Cornelison is 1215188479. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Tanja Cornelison located?

Tanja Cornelison practices at 265 E Chubbuck Rd, Chubbuck, ID 83202. The listed phone number is (208) 237-1711.

What is Tanja Cornelison's specialty?

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

Is Tanja Cornelison enrolled in Medicare?

Yes. Tanja Cornelison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tanja Cornelison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanja Cornelison reassigns Medicare benefits to Center Counseling, LLC (Chubbuck, ID). 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 Tanja Cornelison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanja Cornelison accept?

Health plans from Molina Healthcare, PacificSource Health Plans and Select Health list Tanja Cornelison 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 Tanja Cornelison was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.