MISS KATHY JO CORN MA, LCPC
NPI 1689769119
Counselor - Mental Health in Belleville, IL

Q: What is Kathy Corn's NPI number?

The NPI number for Kathy Corn is 1689769119. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Kathy Corn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathy Corn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment

521 W. MAIN, SUITE 201 B, BELLEVILLE, IL 62220(618) 825-0051(618) 825-0051 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Miss Kathy Jo Corn Ma, Lcpc NPPES

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

MISS KATHY JO CORN MA, LCPC (NPI 1689769119) is an individual mental health provider in Belleville, Illinois, licensed in Illinois (180-00091) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1689769119

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMISS KATHY JO CORNCredential: MA, LCPC

Location Address521 W. MAIN, SUITE 201 BBelleville, IL 62220

Mailing Address521 W. Main, Suite 201 BBelleville, IL 62220 · (618) 825-0051 · Fax (618) 825-0051

Phone(618) 825-0051

Fax(618) 825-0051

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateOctober 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1689769119 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 IL · 180-00091

521 W. MAIN, SUITE 201 B, Belleville, IL 62220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica.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

Miss Kathy Jo Corn Ma, Lcpc 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 ID4880035666

PECOS Enrollment IDI20240510000734

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 Kathy Corn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Louis Behavioral Medicine Institute Inc

5.9 mi

Mental Health

331 SALEM PLACE STE 225A, FAIRVIEW EXECUTIVE PLAZA II
Fairview Heights, IL 62208

Reassigned Medicare billing, Illinois enrollment

NPI 1952169179 (618) 825-0051

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kathy Corn's NPI number?

The NPI number for Kathy Corn is 1689769119. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Kathy Corn located?

Kathy Corn practices at 521 W. Main, Suite 201 B, Belleville, IL 62220. The listed phone number is (618) 825-0051.

What is Kathy Corn's specialty?

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

Is Kathy Corn enrolled in Medicare?

Yes. Kathy Corn 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 organization bills Medicare for Kathy Corn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Corn reassigns Medicare benefits to St. Louis Behavioral Medicine Institute Inc (Fairview Heights, IL). 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 Kathy Corn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Corn accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Kathy Corn 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 Kathy Corn was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.