MEDICARE: CORE COUNSELING AND WELLNESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1154283190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORE COUNSELING AND WELLNESS, LLC

Provider Business Mailing Address
First Line	:	800 BOWHUNTER DR
Second Line	:
City	:	MARION
State	:	IA
Zip	:	52302-8152
Country	:	US
Telephone Number	:	515-777-0574
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 BOYSON RD STE B8
Second Line	:
City	:	HIAWATHA
State	:	IA
Zip	:	52233-2321
Country	:	US
Telephone Number	:	515-777-0574
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LISA HAWKINS
Credential	:	LMHC
Telephone Number	:	515-777-0574

Provider Enumeration Date	:	11/28/2025
Last Update Date	:	11/28/2025

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