Individual provider Active NPI

Cody Scott Timmons, LMHC, LPC, MHC

  • Mental Health Counselor
  • Broomfield, CO
National Provider Identifier
1881068609
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0024323 Issued in CO
Practice address
16717 Promenade St
Broomfield, CO 80023-8167
Phone
(978) 595-2019
NPI assigned
Nov 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0024323 CO Primary
Mental Health Counselor 101YM0800X 10638 MA
Mental Health Counselor 101YM0800X MHC02101 RI

Addresses

Primary practice location

16717 Promenade St
Broomfield, CO 80023-8167

Mailing address

16717 Promenade St
Broomfield, CO 80023-8167
Phone (978) 595-2019

Other practice location 1

325 Randolph Ave
Milton, MA 02186-4009
Phone (978) 595-2019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
68525TXMDClinical Social Worker
10638MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Timmons Counseling, LLC Mental Health CurrentSince Aug 1, 2021 Accepting new patients

Locations

325 Randolph Ave
Milton, MA 02186
Phone (978) 595-2019

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1881068609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16717 PROMENADE ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238167",
            "telephone_number": "978-595-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16717 PROMENADE ST",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238167",
            "telephone_number": "978-595-2019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Randolph Ave",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "MA",
            "postal_code": "021864009",
            "country_code": "US",
            "telephone_number": "978-595-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "CODY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LMHC, LPC, MHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-17",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0024323",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10638",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC02101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.