Core Wisdom Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CORE WISDOM COUNSELING LLC

Practice address

15 Crater Lake Ave
Medford, OR 97504-7444

Phone

(541) 227-6687

NPI assigned

May 24, 2024

Organization subpart

No

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

Authorized official

Name

Sadie Teagan Angelique SouzaNPI 1225651938

Title

Owner

Phone

(831) 227-8812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sadie Teagan Angelique Souza, LPC

  • Professional Counselor
  • Medford, OR
  • NPI 1225651938
  Medicare reassignment NPD Authorized official
• Mollie Faye Terpening, LPC

  • Professional Counselor
  • Grants Pass, OR
  • NPI 1003330994
  NPD

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1144060484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1787",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010261",
            "telephone_number": "541-500-8655",
            "fax_number": "800-433-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047444",
            "telephone_number": "541-227-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE WISDOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "SADIE",
        "authorized_official_middle_name": "TEAGAN ANGELIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-227-8812"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Cordero
• Amanda Leigh Cordes, PHARMD
• Bennett Elizabeth Cordes, QMHA
• Steven Diego Cordoba
• Victoria A Cordy, M.D.
• S. Angeline Corey
• Alyssa Marie Corley, MD
• Cornelia M Byers MD PC
• Carlos G Corona
• Chris Velasquez Corona

• Professional Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.