Organization Active NPI

Living Proof Recovery LLC

  • Mental Health Counselor
  • Colorado Springs, CO
National Provider Identifier
1124981493
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 4, 2025

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.