Individual provider Active NPI

Cody Alan Williams, LMHC

  • Mental Health Counselor
  • Mason City, IA
National Provider Identifier
1386811990
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001039 Issued in IA
Practice address
103 E State St
Suite 524
Mason City, IA 50401-3300
Phone
(641) 903-9949
NPI assigned
May 13, 2008
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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 001039 IA Primary

Addresses

Primary practice location

103 E State St
Suite 524
Mason City, IA 50401-3300

Mailing address

103 E State St
Suite 524
Mason City, IA 50401-3300
Phone (641) 903-9949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206003913 IA Practitioner - Mental Health Counselor 6709196736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turning Leaf Counseling IncGroup PAC ID 9537479563, 15 clinicians

Practice addresses (Care Compare)

103 E State St
Suite 301
Mason City, IA 50401-3309
Phone (641) 421-2089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Leaf Counseling, Inc Mental Health CurrentSince Jun 3, 2011 Accepting new patients

Locations

103 E State St
Ste 301
Mason City, IA 50401
Phone (641) 421-2089

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.

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1386811990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E STATE ST",
            "address_2": "SUITE 524",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013300",
            "telephone_number": "641-903-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E STATE ST",
            "address_2": "SUITE 524",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504013300",
            "telephone_number": "641-903-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CODY",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.