Michaela Marie Kor, LPCC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC02996 Issued in MN

Practice address

3520 E River Rd NE
Rochester, MN 55906-5407

Phone

(507) 258-3287

NPI assigned

Sep 9, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1942979216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 E RIVER RD NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559065407",
            "telephone_number": "507-258-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E RIVER RD NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559065407",
            "telephone_number": "507-258-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOR",
        "first_name": "MICHAELA",
        "middle_name": "MARIE",
        "credential": "LPCC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010477",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "CC02996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Richard Koppenhaver, DPT
• Kopper Family Dental, PA
• Alison Katherine Kor, MD
• Benjamin Todd Kor, MD
• Daryl J Kor, M.D.
• Nathan Thomas Kor, MD
• Todd M Kor, M.D.
• Ann Koranda, CNS, APRN
• Shantel Marie Koranda, RN
• Said Korane

• Mental Health Counselor in Rochester, MN
• Providers in Rochester, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.