MEDICARE: CORSAIR COUNSELING

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1841140290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORSAIR COUNSELING

Provider Business Mailing Address
First Line	:	4362 NORTHLAKE BLVD STE 101
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6270
Country	:	US
Telephone Number	:	561-662-8207
Fax Number	:

Provider Business Practice Location Address
First Line	:	4362 NORTHLAKE BLVD STE 101
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-6270
Country	:	US
Telephone Number	:	561-662-8207
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WALTER F BIERSCHENK
Credential	:	LMHC
Telephone Number	:	561-662-8207

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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