Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Cornwall

Individual provider Mental Health Counselor · NPI 1184921033

Michael Cornwall is a Mental Health Counselor in Las Vegas, Nevada. Qualified in 1995, 31 years ago. Practices with Jlk Home Care Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
31
Licensed in
NV
In the registry since
2011
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Practice location Address checks out

2110 E Flamingo Rd Ste 207
Las Vegas, NV 89119-5191
Phone: (859) 321-4956
Fax: (702) 472-8635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CP0225 (NV)

Record details

NPI number1184921033
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2011
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Jlk Home Care Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Las Vegas