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

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: July 26, 2026.

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

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