Individual provider Active NPI

Michael Cody Swearengin, MA, LPC

  • Professional Counselor
  • Ozark, MO
National Provider Identifier
1679288328
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2018044932 Issued in MO
Practice address
704 N 22ND St
Ozark, MO 65721-8662
Phone
(417) 413-4544
NPI assigned
Jan 17, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2018044932 MO Primary

Addresses

Primary practice location

704 N 22ND St
Ozark, MO 65721-8662

Mailing address

412 Hightower Ave
Nixa, MO 65714-9464
Phone (417) 840-0426

Other names 1

  • Mr. Cody Swearengin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2018044932MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1679288328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HIGHTOWER AVE",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149464",
            "telephone_number": "417-840-0426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N 22ND ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218662",
            "telephone_number": "417-413-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARENGIN",
        "first_name": "MICHAEL",
        "middle_name": "CODY",
        "name_prefix": "Mr.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2018044932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CODY",
            "last_name": "SWEARENGIN",
            "prefix": "MR.",
            "credential": "MA, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

Verify at the official NPI Registry.