Cody Raspberry

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2240 N Hwy 89 Ste C
Harrisville, UT 84404-2824

Phone

(877) 393-6232

Fax

(877) 393-6232

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

Yes

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.

• Quality Youth Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrisville, UT
  • NPI 1023335890
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2024.

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1285360883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 N HWY 89 STE C",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844042824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 N HWY 89 STE C",
            "city": "HARRISVILLE",
            "state": "UT",
            "postal_code": "844042824",
            "telephone_number": "877-393-6232",
            "fax_number": "877-393-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASPBERRY",
        "first_name": "CODY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalli Potokar
• Andrea Lyne Powell
• Elizza Anne Price
• Vanessa Provencio
• Quality Youth Services
• Kelly Rees-Maw, CSW
• Shalise Reid
• Valerie Rios
• Devon Robertson
• Cori Lynn Robison

• All providers in Harrisville, UT
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.