Active NPI
Living Proof Recovery LLC
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1124981493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LIVING PROOF RECOVERY LLC
- Practice address
- 4345 Charleston Dr
Colorado Springs, CO 80916-3037 - Phone
- (719) 243-1668
- Fax
- (719) 243-1668
- NPI assigned
- Dec 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corey Cornelius Woodard
- Title
- Owner/ Executive Director
- Phone
- (719) 243-1668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4345 Charleston Dr
Colorado Springs, CO 80916-3037
Mailing address
4345 Charleston Dr
Colorado Springs, CO 80916-3037
Phone (719) 243-1668
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1124981493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4345 CHARLESTON DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809163037",
"telephone_number": "719-243-1668",
"fax_number": "719-243-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4345 CHARLESTON DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809163037",
"telephone_number": "719-243-1668",
"fax_number": "719-243-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING PROOF RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-04",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "WOODARD",
"authorized_official_first_name": "COREY",
"authorized_official_middle_name": "CORNELIUS",
"authorized_official_title_or_position": "OWNER/ EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "719-243-1668"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
- Zhen Chun Liu, L.AC.
- Michela Liuzzi
- Liv Happyy (LH) LLC (Liv Happyy)
- Larainna Jo Lively
- Rebecca Leann Lively
- Living Water Trauma Counseling and Consulting, PLLC
- Livingston Enterprises Inc
- Jennifer Duvall Livingston Skinner, LMT
- Alida Miller Livingston, PHYSICIAN ASSISTANT
- Brianna Leigh Livingston, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.