Kori Kae Black, MS,ME,PPC
Individual provider Active NPI Counselor · Cody, WY
NPI 1184590499 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1184590499
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- PPC-1593 (WY)
- Practice address
- 1527 Rumsey Ave
Cody, WY 82414-3813 - Phone
- (307) 578-7770
- NPI assigned
- Oct 14, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Engineering, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1593 | WY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundations Counselling, LLC | Current |
Accepting new patients |
Locations
1527 Rumsey Ave
Cody, WY 82414
Phone (307) 578-7770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PPC-1593 | WY | Yes |
Addresses
Primary practice location
1527 Rumsey Ave
Cody, WY 82414-3813
Mailing address
1249 Meadow Lane Ave
Cody, WY 82414-4632
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.