Individual provider Active NPI

Cody William Pickrodt, LMHC-D, LCPC

  • Mental Health Counselor
  • Levittown, NY
National Provider Identifier
1073289740
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
D013932 Issued in NY
Practice address
94 Gardiners Ave # 117
Levittown, NY 11756-3705
Phone
(516) 531-3854
NPI assigned
Aug 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CC8308 ME
Mental Health Counselor 101YM0800X D013932 NY Primary

Addresses

Primary practice location

94 Gardiners Ave # 117
Levittown, NY 11756-3705

Mailing address

94 Gardiners Ave # 117
Levittown, NY 11756-3705
Phone (516) 531-3854

Other identifiers 1

IdentifierTypeStateIssuer
07757904MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926002426 NY Practitioner - Mental Health Counselor 4385185669

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

368 Veterans Memorial Hwy
Suite 3
Commack, NY 11725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC8308MEMDMental Health Counselor
D013932NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin Behavioral Health Ma PC Mental Health Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1073289740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GARDINERS AVE # 117",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563705",
            "telephone_number": "516-531-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 GARDINERS AVE # 117",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563705",
            "telephone_number": "516-531-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKRODT",
        "first_name": "CODY",
        "middle_name": "WILLIAM",
        "credential": "LMHC-D, LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-21",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC8308",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "D013932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07757904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

Verify at the official NPI Registry.