Core Self RX, Corp

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CORE SELF RX, CORP

Practice address

1300 S Olive Ave
West Palm Beach, FL 33401-6724

Phone

(561) 685-6934

NPI assigned

Aug 30, 2024

Organization subpart

No

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

Authorized official

Name

Adam CollingNPI 1821335001

Title

Ceo

Phone

(561) 685-6934

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Adam Colling, LMHC, CAP

  • Mental Health Counselor
  • Boynton Beach, FL
  • NPI 1821335001
  NPD Authorized official

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1871327809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 NEW YORK ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334016724",
            "telephone_number": "561-685-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE SELF RX, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "COLLING",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-685-6934"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bibiana Cordoves
• Core Behavioral Healthcare, LLC
• Core Health & Wellness, LLC
• Core Healthcare Alliance, LLC
• Core Medical Solutions
• Corey Hutchins Medical Supply
• Corey'S Trucking Service, LLC
• Carl Corley
• Jarrod Craig Cornehl, D.D.S.
• Nathasha Raquel Cornejo-Barrios

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.