Tanja Dawn Cornelison, LCPC
NPI 1215188479ActiveIndividual· Counselor, Mental Health· Chubbuck, ID
Counselor, Mental Health (LCPC) in Chubbuck, Idaho, licensed in ID, with an NPI issued in October 2008. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1215188479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC |
| Sole proprietor | No |
| NPI issued | Oct 7, 2008 |
| Last updated in NPPES | Jun 2, 2026 |
| Certified by provider | Jun 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | LCPC-6510 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (ID) |
|---|
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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All 47 mental health counselors in Chubbuck · All mental health counselors in Idaho