1. Home
  2. Directory
  3. Illinois
  4. Wood River
  5. Counselor
  6. NPI Profile

MELONEE CORNISH CRADC
NPI 1639823776
Counselor - Addiction (Substance Use Disorder) in Wood River, IL

Active since February 08, 2022
304 WESLEY DR, WOOD RIVER, IL 62095(618) 258-7592(618) 258-7645 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Melonee Cornish Cradc NPPES

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

MELONEE CORNISH CRADC (NPI 1639823776) is an individual addiction (substance use disorder) provider in Wood River, Illinois, licensed in Illinois (23977) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1639823776
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMELONEE CORNISHCredential: CRADC
Location Address304 WESLEY DRWood River, IL 62095-2266
Mailing Address304 Wesley DrWood River, IL 62095-2266 · (618) 258-7592 · Fax (618) 258-7645
Phone(618) 258-7592
Fax(618) 258-7645
Sole ProprietorYes
Enumeration DateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1639823776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in IL · 23977
304 WESLEY DR, Wood River, IL 62095
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

MEAGAN MARIAH MCNEALY LPN
Licensed Practical Nurse
304 WESLEY DR
WOOD RIVER, IL 62095
Madison County (618) 258-7645
AMANDA C MCMURRAY CADC
Counselor (Addiction (Substance Use Disorder))
304 WESLEY DR
WOOD RIVER, IL 62095
Madison County (618) 258-7592

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 Melonee Cornish's NPI number?

The NPI number for Melonee Cornish is 1639823776. It was assigned to this individual provider in the NPPES registry on February 8, 2022.

Where is Melonee Cornish located?

Melonee Cornish practices at 304 Wesley Dr, Wood River, IL 62095. The listed phone number is (618) 258-7592.

What is Melonee Cornish's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Melonee Cornish was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.