Individual provider Active NPI

Cody Marshall Smith

  • Mental Health Counselor
  • Chalmette, LA
National Provider Identifier
1447689252
Registry record updated Nov 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CI 5697 Issued in LA
Practice address
2626 Charles Dr
Chalmette, LA 70043-3779
Phone
(504) 352-3508
NPI assigned
Nov 2, 2013
Last updated
Nov 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2013

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 CI 5697 LA Primary

Addresses

Primary practice location

2626 Charles Dr
Chalmette, LA 70043-3779

Mailing address

8519 Sycamore PL Apt a
New Orleans, LA 70118-1575
Phone (504) 352-3508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20240617001572 VT Practitioner - Mental Health Counselor 0345783569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
William Carey University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Kingdom Human Services IncGroup PAC ID 0941276703, 17 clinicians

Practice addresses (Care Compare)

165 Sherman Dr
Saint Johnsbury, VT 05819-9811

181 Crawford Rd
Derby, VT 05829
Phone (802) 334-6744

185 Sherman Dr
Saint Johnsbury, VT 05819-9811
Phone (802) 748-5041

457 Railroad St
Suite 2
Saint Johnsbury, VT 05819-1643
Phone 80274894051599

636 Farmer Dr
St Johnsbury, VT 05819-1453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CI 5697LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Counties Health Care, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Northern Counties Health Care Inc CurrentSince Jul 15, 2024 Accepting new patients

Locations

26 Cedar Ln
Danville, VT 05828
Phone (802) 684-2275

165 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-9405

185 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 695-2512

Organizations & group practices 3

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": "1383350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1447689252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8519 SYCAMORE PL APT A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701181575",
            "telephone_number": "504-352-3508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CHARLES DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700433779",
            "telephone_number": "504-352-3508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CODY",
        "middle_name": "MARSHALL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "CI 5697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

Verify at the official NPI Registry.