NPIMap

Organization Active NPI

Recore Counseling LLC

  • Mental Health Counselor
  • Mishawaka, IN
National Provider Identifier
1023664315
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RECORE COUNSELING LLC
Practice address
3835 Edison Lakes Parkway
Suite # 200
Mishawaka, IN 46545-3419
Phone
(574) 210-0303
Fax
(574) 247-1662
NPI assigned
Aug 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda A Kohman
Title
Office Manager
Phone
(574) 210-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3835 Edison Lakes Parkway
Suite # 200
Mishawaka, IN 46545-3419

Mailing address

3835 Edison Lakes Parkway
Suite # 200
Mishawaka, IN 46545-3419
Phone (574) 210-0303

National Provider Directory

National Provider Directory

Locations

3835 Edison Lakes Pkwy
Ste 200
Mishawaka, IN 46545
Phone (574) 210-0303

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1023664315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 EDISON LAKES PARKWAY",
            "address_2": "SUITE # 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453419",
            "telephone_number": "574-210-0303",
            "fax_number": "574-247-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 EDISON LAKES PARKWAY",
            "address_2": "SUITE # 200",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465453419",
            "telephone_number": "574-210-0303",
            "fax_number": "574-247-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECORE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "KOHMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "574-210-0303"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.