Korey Shrader, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CTB-2025-0942 Issued in NM

Practice address

215 Cowboy Way
Edgewood, NM 87015-9616

Phone

(505) 750-2707

NPI assigned

Dec 27, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1766793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766793600000",
    "number": "1750247367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SERRANIA DR",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870159071",
            "telephone_number": "505-750-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 COWBOY WAY",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870159616",
            "telephone_number": "505-750-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRADER",
        "first_name": "KOREY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-27",
        "last_updated": "2025-12-27",
        "certification_date": "2025-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CTB-2025-0942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandia Mountain Medical, Inc.
• Sandia Mountain Medical, Inc.
• Saverio Joseph Sava, MD
• Andrew H Schlosser, OT
• Kara Nicole Shrader, LPCC
• Matthew Shultz, DPT
• Amy Smith, LCSW
• Smiths Food & Drug Centers Inc
• Justin Snow, PT
• Shamaine Spencer, D.D.S.

• Counselor in Edgewood, NM
• Providers in Edgewood, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.