Individual provider Active NPI

Cory Kohm, LCPC

  • Professional Counselor
  • Kalispell, MT
National Provider Identifier
1104368992
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-19497 Issued in MT
Practice address
50 2ND St E # B-15
Kalispell, MT 59901-4509
Phone
(406) 885-0350
NPI assigned
Nov 9, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131004335 MT Practitioner - Mental Health Counselor 9537512025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Counseling LLC Pastoral CurrentSince Nov 24, 2025 Accepting new patients

Locations

50 2nd St E
#B15
Kalispell, MT 59901
Phone (406) 885-0350

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X BBH-LCPC-LIC-19497 MT
Professional Counselor 101YP2500X BBH-LCPC-LIC-19497 MT Primary

Addresses

NPPES NPI Registry

Primary practice location

50 2ND St E # B-15
Kalispell, MT 59901-4509

Mailing address

2120 Snowghost Dr
Whitefish, MT 59937-7922
Phone (406) 885-0350

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2025.

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1104368992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SNOWGHOST DR",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377922",
            "telephone_number": "406-885-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 2ND ST E # B-15",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014509",
            "telephone_number": "406-885-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHM",
        "first_name": "CORY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MT",
            "license": "BBH-LCPC-LIC-19497",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-19497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.