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MR. KENNETH W CORNELIUS MA
NPI 1720453764
Counselor - Mental Health in Shreveport, LA

Active since December 02, 2015
1513 LINE AVE, SUITE 135, SHREVEPORT, LA 71101(318) 828-1455 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2024, Jan 4, 2019, Dec 2, 2015 (3 updates tracked since 2015).

About Mr. Kenneth W Cornelius Ma NPPES

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

MR. KENNETH W CORNELIUS MA (NPI 1720453764) is an individual mental health provider in Shreveport, Louisiana and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1720453764
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH W CORNELIUSCredential: MA
Location Address1513 LINE AVE, SUITE 135Shreveport, LA 71101-4621
Mailing Address1513 Line Ave, Suite 135Shreveport, LA 71101-4621 · (318) 828-1455
Phone(318) 828-1455
Sole ProprietorNo
Enumeration DateDecember 2, 2015
Last NPPES UpdateMay 29, 20243 updates tracked since enumeration
NPPES CertifiedMay 29, 2024
✔ NPI 1720453764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1513 LINE AVE, Shreveport, LA 71101
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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.

DESIREE LASHAY REED
Case Manager/Care Coordinator
1513 LINE AVE, SUITE 225
SHREVEPORT, LA 71101
Caddo Parish (318) 754-3890
MS. SHARNE BELL MA
Counselor (Mental Health)
1513 LINE AVE, SUITE 135
SHREVEPORT, LA 71101
Caddo Parish (318) 828-1455
DOUGLAS CURRY JR.
Community Health Worker
1513 LINE AVE, SUITE 315
SHREVEPORT, LA 71101
Caddo Parish (318) 221-2828
LONZO SHEFFIELD III
Counselor (Mental Health)
1513 LINE AVE, SUITE 225
SHREVEPORT, LA 71101
Caddo Parish (318) 754-3890
TAMIKA RHINEHART
Case Manager/Care Coordinator
1513 LINE AVE, SUITE 225
SHREVEPORT, LA 71101
Caddo Parish (318) 754-3890
MARTIN JAMES DYKES L.A.C.
Counselor (Addiction (Substance Use Disorder))
1513 LINE AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 742-5146
JENNIFER WILLIAMS
Case Manager/Care Coordinator
1513 LINE AVE, SUITE 315
SHREVEPORT, LA 71101
Caddo Parish (318) 221-2828
LATOYA WASHINGTON
Counselor (Mental Health)
1513 LINE AVE, SUITE 230
SHREVEPORT, LA 71101
Caddo Parish (318) 670-8858

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 Kenneth Cornelius's NPI number?

The NPI number for Kenneth Cornelius is 1720453764. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Where is Kenneth Cornelius located?

Kenneth Cornelius practices at 1513 Line Ave Suite 135, Shreveport, LA 71101. The listed phone number is (318) 828-1455.

What is Kenneth Cornelius's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Cornelius was last updated on May 29, 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.