LACEY D CORNELIUSEN LICSW
NPI 1871819979
Counselor - Mental Health in Minot, ND

Active since April 14, 2010
6301 19TH AVE NW, MINOT, ND 58703(701) 852-3628(701) 852-1190 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lacey D Corneliusen Licsw NPPES

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

LACEY D CORNELIUSEN LICSW (NPI 1871819979) is an individual mental health provider in Minot, North Dakota and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1871819979
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLACEY D CORNELIUSENCredential: LICSW
Location Address6301 19TH AVE NWMinot, ND 58703-8899
Mailing Address6301 19th Ave NwMinot, ND 58703-8899 · (701) 852-3628 · Fax (701) 852-1190
Fax(701) 852-1190
Sole ProprietorNo
Enumeration DateApril 14, 2010
Last NPPES UpdateDecember 31, 2013
NPI 1871819979 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 4558 (ND)
6301 19TH AVE NW, Minot, ND 58703

Other Identifiers 2

Medicaid74214ND
Medicaid19337ND

Accepted Insurance

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.

Counselor (Professional)
6301 19TH AVE NW
MINOT, ND 58703
Case Manager/Care Coordinator
6301 19TH AVE NW
MINOT, ND 58703
Case Manager/Care Coordinator
6301 19TH AVE NW
MINOT, ND 58703
Clinic/Center
6301 19TH AVE NW
MINOT, ND 58703
Social Worker
6301 19TH AVE NW
MINOT, ND 58703
Counselor (Addiction (Substance Use Disorder))
6301 19TH AVE NW
MINOT, ND 58703
Case Manager/Care Coordinator
6301 19TH AVE NW
MINOT, ND 58703
Counselor (Addiction (Substance Use Disorder))
6301 19TH AVE NW
MINOT, ND 58703

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 Lacey Corneliusen's NPI number?

The NPI number for Lacey Corneliusen is 1871819979. It was assigned to this individual provider in the NPPES registry on April 14, 2010.

Where is Lacey Corneliusen located?

Lacey Corneliusen practices at 6301 19th Ave NW, Minot, ND 58703. The listed phone number is (701) 852-3628.

What is Lacey Corneliusen's specialty?

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

What insurance does Lacey Corneliusen accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lacey Corneliusen 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 Lacey Corneliusen was last updated on December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.