Cody Roland Dunham, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6435 Issued in LA

Practice address

614 Esplanade St
Lake Charles, LA 70607-6308

Phone

(337) 478-1411

Fax

(337) 561-1489

NPI assigned

Mar 6, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• New Horizons Counseling Center, LLC

  • Mental Health Counselor
  • Lake Charles, LA
  • NPI 1235296906
  Medicare reassignment NPD

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1649805995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 PINE DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706630214",
            "telephone_number": "337-499-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 ESPLANADE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706076308",
            "telephone_number": "337-478-1411",
            "fax_number": "337-561-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM",
        "first_name": "CODY",
        "middle_name": "ROLAND",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfie Dulap, PT, DPT
• Jamie N Duncan, PA
• Karl A Duncan, M.D.
• Kurt A Duncan, MD
• Monique Marie Duncan, MOT
• Sara Dunham, APRN
• Taylor Dunn, SLP
• Michael Dupin
• Benjamin Jude Duplantis, DDS
• Dylan Cain Duplantis, RNFA

• Mental Health Counselor in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; 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.

Verify at the official NPI Registry.