Cory S. Divine, CSAC, LPC
NPI 1558494211ActiveIndividual· Counselor, Professional· Madison, WI
Counselor, Professional (CSAC, LPC) in Madison, Wisconsin, licensed in WI, with an NPI issued in March 2007.
Overview
| NPI | 1558494211 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CSAC, LPC |
| Sole proprietor | Yes |
| NPI issued | Mar 13, 2007 |
| Last updated in NPPES | Jan 2, 2025 |
| Certified by provider | Jan 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 6901-125 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 15367-132 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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