Individual provider Active NPI

Jill B Cody, M.A.

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1073772786
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0029 Issued in MD
Practice address
186 Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4305
Phone
(301) 662-2266
Fax
(301) 662-4448
NPI assigned
Jun 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0029 MD Primary

Addresses

Primary practice location

186 Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4305

Mailing address

186 Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4305
Phone (301) 662-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0029MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1073772786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 THOMAS JOHNSON DR",
            "address_2": "SUITE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024305",
            "telephone_number": "301-662-2266",
            "fax_number": "301-662-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 THOMAS JOHNSON DR",
            "address_2": "SUITE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024305",
            "telephone_number": "301-662-2266",
            "fax_number": "301-662-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "JILL",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "0029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.