Individual provider Active NPI

Cody Christopher Samec, MS

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1831502186
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
090543 Issued in IA
Practice address
1301 Center St
Des Moines, IA 50309-1004
Phone
(515) 241-0982
NPI assigned
Jun 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 090543 IA Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

1301 Center St
Des Moines, IA 50309-1004

Mailing address

1301 Center St
Des Moines, IA 50309-1004
Phone (515) 241-0982

Other practice location 1

200 N 8th Ave E
Newton, IA 50208-2108
Phone (641) 792-0717

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
I20240926001902 IA Practitioner - Mental Health Counselor 8123569498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Drake University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 Ctr St
Des Moines, IA 50309-1004
Phone (515) 243-5181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
090543IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eyerly Ball Community Mental Health Services CurrentSince Jul 21, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Eyerly Ball Community Mental Health Services CurrentSince Jul 21, 2024 Accepting new patients
House of Mercy Past Accepting new patients
House of Mercy Past Accepting new patients

Locations

2521 University Blvd
Ste 121
Ames, IA 50010
Phone (515) 292-2150

1301 Center St
Des Moines, IA 50309
Phone 5152410982852

945 19th St
Des Moines, IA 50314
Phone (515) 235-8822

Interoperability endpoints

  • Direct secure messaging: csamec1021844@direct.unitypoint.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1831502186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-241-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091004",
            "telephone_number": "515-241-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N 8th Ave E",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IA",
            "postal_code": "502082108",
            "country_code": "US",
            "telephone_number": "641-792-0717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMEC",
        "first_name": "CODY",
        "middle_name": "CHRISTOPHER",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "090543",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.