MR. CORIE HARGROVE CADC-III
NPI 1720124019
Counselor - Addiction (Substance Use Disorder) in Racine, WI

Q: What is Corie Hargrove's NPI number?

The NPI number for Corie Hargrove is 1720124019. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Corie Hargrove's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Corie Hargrove was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2007

2405 NORTHWESTERN AVE # LL15, RACINE, WI 53404(262) 260-8370(262) 260-8538 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Corie Hargrove Cadc-iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CORIE HARGROVE CADC-III (NPI 1720124019) is an individual addiction (substance use disorder) provider in Racine, Wisconsin, licensed in Wisconsin (13772) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1720124019

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. CORIE HARGROVECredential: CADC-III

Location Address2405 NORTHWESTERN AVE # LL15Racine, WI 53404-2534

Mailing Address1625 Derby AveRacine, WI 53403-3808

Phone(262) 260-8370

Fax(262) 260-8538

Sole ProprietorNo

Enumeration DateJanuary 30, 2007

Last NPPES UpdateDecember 6, 2012

✔ NPI 1720124019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 13772

2405 NORTHWESTERN AVE # LL15, Racine, WI 53404

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Other Identifiers 1

Medicaid39173200WI

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD MITCHELL

Community/Behavioral Health

2405 NORTHWESTERN AVE # LL15
RACINE, WI 53404

Racine County (262) 260-8370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corie Hargrove's NPI number?

The NPI number for Corie Hargrove is 1720124019. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Corie Hargrove located?

Corie Hargrove practices at 2405 Northwestern Ave # Ll15, Racine, WI 53404. The listed phone number is (262) 260-8370.

What is Corie Hargrove's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Corie Hargrove was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.