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

Mr. Edward F Cornell III, MDIV

Individual provider Counselor · NPI 1154699155

Mr. Edward F Cornell III, MDIV is a Mental Health Counselor in New Haven, Connecticut. Qualified in 2012, 14 years ago. Practices with Shoreline Pastoral Counseling LLC, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
14
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

501 Lombard St
New Haven, CT 06513-2910
Phone: (203) 787-2207
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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
Counselor Taxonomy 101Y00000X
Pastoral Counselor Taxonomy 101YP1600X

Record details

NPI number1154699155
Entity typeIndividual (Type 1)
GenderMale
Credentials MDIV
Sole proprietorNo
NPI enumeratedDecember 5, 2011
Last updated in NPPESDecember 5, 2011

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Shoreline Pastoral Counseling Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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