Cody Chang

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3249 Kingsbridge Ave
Bronx, NY 10463-5514

Phone

(646) 204-2295

NPI assigned

Jun 25, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Footprints Mental Health Counseling, P. C.

  • Mental Health Counselor
  • Bronx, NY
  • NPI 1033724414

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1255229449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MYRTLE AVE APT 1905",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012916",
            "telephone_number": "917-579-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 KINGSBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635514",
            "telephone_number": "646-204-2295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "377 Valley Rd # 1154",
            "address_purpose": "LOCATION",
            "city": "Clifton",
            "state": "NJ",
            "postal_code": "070131319",
            "country_code": "US",
            "telephone_number": "646-204-2295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CODY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Chang, O.D.
• Caroline Jimee Chang
• Chin-Yung Paul Chang, M.D.
• Clarice Chang, D.D.S.
• Claudia L Chang, PA-C
• Daiana Chang
• Daniel Chang, CRNA
• Daniel Ricardo Chang, MD
• Diane Chang, MD
• Gloria Chang, DDS

• All providers in Bronx, NY
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.