Individual provider Active NPI

Cody Michael Pardue, LCPC, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Great Falls, MT
National Provider Identifier
1851886030
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BBH-LAC-LIC-23044 Issued in MT
Practice address
115 4TH St S
Great Falls, MT 59401-3618
Phone
(406) 454-6973
Fax
(406) 791-9277
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-LAC-LIC-23044 MT Primary
Professional Counselor 101YP2500X BBH-LCPC-LIC-78611 MT

Addresses

Primary practice location

115 4TH St S
Great Falls, MT 59401-3618

Mailing address

601 1St Ave N
Great Falls, MT 59401-2510
Phone (406) 454-6973

Other practice location 1

601 1st Ave N
Great Falls, MT 59401-2510
Phone (406) 454-6973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20250915003880 MT Practitioner - Mental Health Counselor 1355845256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care Center IncorporatedGroup PAC ID 7214272848, 17 clinicians

Practice addresses (Care Compare)

601 1St Ave N
Great Falls, MT 59401-2510
Phone (406) 454-6973

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LAC-LIC-23044MTMDAddiction (Substance Use Disorder) Counselor
BBH-LCPC-LIC-78611MTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Center Incorporated CurrentSince Sep 2, 2025 Accepting new patients
Rocky Mountain Treatment Center Past Accepting new patients

Locations

115 4th St S
Great Falls, MT 59401
Phone (406) 454-6950

601 1st Ave N
Great Falls, MT 59401
Phone (406) 454-5074

Organizations & group practices 2

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1851886030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012510",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 4TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013618",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 1st Ave N",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594012510",
            "country_code": "US",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDUE",
        "first_name": "CODY",
        "middle_name": "MICHAEL",
        "credential": "LCPC, LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-23044",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-78611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.