Individual provider Active NPI

Cody Marshall

  • Mental Health Counselor
  • Baker, LA
National Provider Identifier
1639692668
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2942 Ray Weiland Dr
Baker, LA 70714-3250
Phone
(225) 301-7525
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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 Primary

Addresses

Primary practice location

2942 Ray Weiland Dr
Baker, LA 70714-3250

Mailing address

4055 N Sherwood Forest Dr Apt 20
Baton Rouge, LA 70814-5184

Other identifiers 1

IdentifierTypeStateIssuer
008772942MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250116001594 LA Practitioner - Mental Health Counselor 7810425931 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8467LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
HIV-AIDS Alliance for Region Two CurrentSince Dec 5, 2024 Accepting new patients
HIV-AIDS Alliance for Region Two CurrentSince Dec 5, 2024 Accepting new patients
HIV-AIDS Alliance for Region Two Current Accepting new patients
Merakey Pennsylvania Past Accepting new patients
Merakey Pennsylvania Past Accepting new patients

Locations

3801 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-6620

781 Colonial Dr
Baton Rouge, LA 70806
Phone (225) 201-0413

9516 Airline Hwy
Baton Rouge, LA 70815
Phone (225) 424-1746

Organizations & group practices 5

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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1639692668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4055 N SHERWOOD FOREST DR APT 20",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708145184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 RAY WEILAND DR",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707143250",
            "telephone_number": "225-301-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "CODY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008772942",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, LA

Sources for this page

Verify at the official NPI Registry.