Active NPI
Cody Blake McCain, M.A., LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1275766180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 63367
- Practice address
- 17480 Dallas Pkwy
Ste 114
Dallas, TX 75287-7303 - Phone
- (214) 202-2264
- Fax
- (214) 975-6981
- NPI assigned
- Aug 25, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 63367 | TX | Primary |
Addresses
Primary practice location
17480 Dallas Pkwy
Ste 114
Dallas, TX 75287-7303
Mailing address
3718 White River
Dallas, TX 75287-4814
Phone (214) 202-2264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109000300 | TX | Practitioner - Mental Health Counselor | 9931482916 | Practice locations: Celina, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1731 Ellington Dr
Celina, TX 75009-1509
Phone (214) 202-2264
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63367 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1275766180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3718 WHITE RIVER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752874814",
"telephone_number": "214-202-2264",
"fax_number": "214-975-6981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17480 DALLAS PKWY",
"address_2": "STE 114",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877303",
"telephone_number": "214-202-2264",
"fax_number": "214-975-6981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCAIN",
"first_name": "CODY",
"middle_name": "BLAKE",
"name_prefix": "Mr.",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-25",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "63367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.