Cody Scott Dexter, MS MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

638-228 Issued in WI

Practice address

108 Chieftain St
Osceola, WI 54020-0817

Phone

(715) 417-3241

NPI assigned

Jul 20, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Peace Tree Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Osceola, WI
  • NPI 1902069776
  NPD (past)

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1831676063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CHIEFTAIN ST",
            "address_2": "STE B",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "54020",
            "telephone_number": "715-417-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CHIEFTAIN ST",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540200817",
            "telephone_number": "715-417-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEXTER",
        "first_name": "CODY",
        "middle_name": "SCOTT",
        "credential": "MS MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "638-228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allana B Clymer, RN
• Joseph John Clymer, LCSW
• Dakota Cole, DPT
• Natalia Cropper, FNP-C
• Nathan Delovely, ATC
• Kimberly Ann Donaldson, MSN, PMHNP-BC, APNP
• Douglas E Nykanen
• Amanda Louise Downing, MA, LMFT
• Downtown Dental, S.C.
• Ecumen

• Mental Health Counselor in Osceola, WI
• Providers in Osceola, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.