Active NPI
5Cor Behavioral Health Services Limited
- Mental Health Counselor
- Waynesville, MO
National Provider Identifier
1285489310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- 5COR BEHAVIORAL HEALTH SERVICES LIMITED
- Practice address
- 119 Ichord Ave
Waynesville, MO 65583-5401 - Phone
- (912) 312-9632
- NPI assigned
- Apr 22, 2024
- 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
- Anna Schroeder
- Title
- Office Manager
- Phone
- (912) 312-3457
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
119 Ichord Ave
Waynesville, MO 65583-5401
Mailing address
95 E Plum St
Hazlehurst, GA 31539-6772
Phone (912) 312-3457
Other practice location 1
95 E Plum St
Hazlehurst, GA 31539-6772
Phone (912) 312-3457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, FL
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
119 Ichord Ave
Waynesville, MO 65583
Phone (573) 433-2331
6601 Cypresswood Dr
Ste 102
Spring, TX 77379
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Saint Robert, MO
- NPI 1588092100
FL, Mental Health
-
- Clinical Social Worker
- Waynesville, MO
- NPI 1386045052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780876800000",
"number": "1285489310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 E PLUM ST",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396772",
"telephone_number": "912-312-3457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 ICHORD AVE",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "655835401",
"telephone_number": "912-312-9632"
}
],
"practiceLocations": [
{
"address_1": "95 E Plum St",
"address_purpose": "LOCATION",
"city": "Hazlehurst",
"state": "GA",
"postal_code": "315396772",
"country_code": "US",
"telephone_number": "912-312-3457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "5COR BEHAVIORAL HEALTH SERVICES LIMITED",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-22",
"last_updated": "2026-06-08",
"certification_date": "2026-06-08",
"status": "A",
"authorized_official_last_name": "SCHROEDER",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "912-312-3457"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.