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Kami Kate Cornwall , LMHC

Counselor - Mental Health β€’ Pullman, WA

Active NPI 1124418520 Individual Practitioner Female Practitioner
Practice location in NPPES

1205 Se Professional Mall Blvd, Suite 109
Pullman, WA 991635423

Call 5094323925 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1205 Se Professional Mall Blvd
Suite 109

Pullman, WA 991635423

Telephone 5094323925
Organization at the Same NPPES Address or Phone
Palouse Pediatrics, Pllc Facility NPI 1649253758

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pullman and Washington

56 active clinicians are listed under Counselor - Mental Health with a practice address in Pullman, WA (18,104 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pullman

0% of these 56 clinicians have the CMS telehealth indicator.

5.4% of these 56 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-15
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WA 60982449
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WA MC60489971
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Douglas Lane , PhD

Psychologist - Clinical

NPI 1780732073

Doctor of Philosophy (Ph.D.)

Dr. Steven Larsen , DDS

Dentist - General Practice

NPI 1073603882

Doctor of Dental Surgery

Dr. Ric Minudri , MD

Obstetrics & Gynecology

NPI 1972567857

Doctor of Medicine (M.D.)

Dr. Huong Trinh , MD

Obstetrics & Gynecology

NPI 1386608271

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address September 15, 2022

Registered at 115 SW BLAINE ST STE C, PULLMAN, WA 991634905 (Tel: 5094323925)

πŸ‘€
Provider Name / Credentials Updated September 15, 2022

Recorded as KAMI CORNWALL, LMHC

βœ…
NPI Profile Active January 26, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 26, 2016

Registered at 1205 SE PROFESSIONAL MALL BLVD, SUITE 109, PULLMAN, WA 991635423 (Tel: 5094323925)

πŸ“
Business Mailing Address (Initial Record) January 26, 2016

Registered at 1205 SE BISHOP BLVD, SUITE 109, PULLMAN, WA 991635652 (Tel: 5094323925)

πŸ‘€
Provider Name / Credentials (Initial Record) January 26, 2016

Recorded as KAMI CORNWALL, LMHCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2016

Counselor (license number reported to NPPES: WA MC60489971)

🟒
Initial NPI Registration & Enumeration January 23, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124418520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2015
Last Update: September 15, 2022
Sole Proprietor: Yes

Mailing Address

115 Sw Blaine St Ste C

Pullman, WA 991634905

Phone: 5094323925

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.