Individual provider Active NPI

Kori Kae Black, MS,ME,PPC

  • Counselor
  • Cody, WY
National Provider Identifier
1184590499
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PPC-1593 Issued in WY
Practice address
1527 Rumsey Ave
Cody, WY 82414-3813
Phone
(307) 578-7770
NPI assigned
Oct 14, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PPC-1593 WY Primary

Addresses

Primary practice location

1527 Rumsey Ave
Cody, WY 82414-3813

Mailing address

1249 Meadow Lane Ave
Cody, WY 82414-4632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Engineering, Master of Science

State licenses

LicenseStateTypeSpecialty
PPC-1593WYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foundations Counselling, LLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

1527 Rumsey Ave
Cody, WY 82414
Phone (307) 578-7770

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": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1184590499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 MEADOW LANE AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824144632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 RUMSEY AVE",
            "city": "CODY",
            "state": "WY",
            "postal_code": "824143813",
            "telephone_number": "307-578-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "KORI",
        "middle_name": "KAE",
        "credential": "MS,ME,PPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WY",
            "license": "PPC-1593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cody, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.