Organization Active NPI

5Cor Behavioral Health Services Limited

  • Mental Health Counselor
  • Waynesville, MO
National Provider Identifier
1285489310
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jun 8, 2026

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240510000696 MO Part B Supplier - Clinic/Group Practice 4981045762 Receives reassigned benefits from 1 practitioner
Practice locations: Waynesville, MO
O20250415001917 FL Part B Supplier - Clinic/Group Practice 4981045762 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.