Active NPI
Cory Kohm, LCPC
- Professional Counselor
- Kalispell, MT
National Provider Identifier
1104368992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-LIC-19497
- Practice address
- 50 2ND St E # B-15
Kalispell, MT 59901-4509 - Phone
- (406) 885-0350
- NPI assigned
- Nov 9, 2016
- Last updated
- Nov 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | BBH-LCPC-LIC-19497 | MT | |
| Professional Counselor | 101YP2500X | BBH-LCPC-LIC-19497 | MT | Primary |
Addresses
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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240131004335 | MT | Practitioner - Mental Health Counselor | 9537512025 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkside Counseling LLC | Pastoral | Current | Accepting new patients |
Locations
50 2nd St E
#B15
Kalispell, MT 59901
Phone (406) 885-0350
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.