Active NPI
Cody Kenneth Sweeney, LPC
- Professional Counselor
- Appleton, WI
National Provider Identifier
1265147219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10725-125
- Practice address
- 2459 W Pershing St Apt 22
Appleton, WI 54914-6038 - Phone
- (715) 412-2401
- NPI assigned
- Jan 13, 2023
- Last updated
- Jul 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10725-125 | WI | |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 22234 | CA | |
| Professional Counselor | 101YP2500X | 10725-125 | WI | Primary |
Addresses
Primary practice location
2459 W Pershing St Apt 22
Appleton, WI 54914-6038
Mailing address
PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255
Other practice location 1
100 Pine St Ste 1250
San Francisco, CA 94111-5235
Phone (833) 351-8255
Other practice location 2
100 W College Ave
Appleton, WI 54911-5735
Phone (833) 351-8255
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10725-125 | WI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Great Lakes Psychology Group
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1265147219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24449",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870589",
"telephone_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2459 W PERSHING ST APT 22",
"city": "APPLETON",
"state": "WI",
"postal_code": "549146038",
"telephone_number": "715-412-2401"
}
],
"practiceLocations": [
{
"address_1": "100 Pine St Ste 1250",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941115235",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 W College Ave",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549115735",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWEENEY",
"first_name": "CODY",
"middle_name": "KENNETH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-13",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "10725-125",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "22234",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "10725-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.