Coren Holistic Self Care LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COREN HOLISTIC SELF CARE LLC

Practice address

8000 N Federal Hwy Ste 4010
Boca Raton, FL 33487-1680

Phone

(954) 605-2851

NPI assigned

Mar 20, 2026

Organization subpart

No

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

Authorized official

Name

Rene Enrique Camacho CordobaNPI 1962740027

Title

Mental Health Counselor

Phone

(954) 605-2851

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Rene Enrique Camacho- Cordoba

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1962740027

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1609724962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 N FEDERAL HWY STE 4010",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871680",
            "telephone_number": "954-605-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 N FEDERAL HWY STE 4010",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871680",
            "telephone_number": "954-605-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREN HOLISTIC SELF CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "CAMACHO CORDOBA",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "954-605-2851"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Manuel Cordero Hernandez
• Cecilia Cristina Cordero
• Alejandra Cordovez, RD, CDE
• Core Strong Physical Therapy LLC
• Corechoice, Inc.
• Coresmart Inc
• Coresmart, Inc.
• Sarah Elizabeth Cormie, MD
• Andrea S. Corn, PSY.D.
• Yasmine Cornelius, APRN

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.