Individual provider Active NPI

Cody Perrien, MS, LIMHP, CMFT

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1942817879
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3425 Issued in NE
Practice address
3883 Normal Blvd Ste 204
Lincoln, NE 68506-5218
Phone
(402) 318-5878
NPI assigned
Sep 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3425 NE Primary

Addresses

Primary practice location

3883 Normal Blvd Ste 204
Lincoln, NE 68506-5218

Mailing address

3883 Normal Blvd Ste 204
Lincoln, NE 68506-5218
Phone (402) 318-5878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 25, 2024 through Mar 25, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3425NEMDMental Health Counselor
239NEMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1942817879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 NORMAL BLVD STE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065218",
            "telephone_number": "402-318-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 NORMAL BLVD STE 204",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065218",
            "telephone_number": "402-318-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIEN",
        "first_name": "CODY",
        "credential": "MS, LIMHP, CMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.