CODY ASHTON RYAN BOWSER
NPI 1225690878
Counselor - Addiction (Substance Use Disorder) in Liverpool, NY

Active since July 03, 2019Opted out of Medicare · through Jan 7, 2028
526 OLD LIVERPOOL RD STE 9, LIVERPOOL, NY 13088(315) 453-3911 Get Directions Write a Review

NPPES record last updated: July 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cody Ashton Ryan Bowser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY ASHTON RYAN BOWSER (NPI 1225690878) is an individual addiction (substance use disorder) provider in Liverpool, New York and active in the NPI registry since July 2019. He has opted out of Medicare through January 7, 2028.

NPPES Registry Identity

NPI1225690878
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCODY ASHTON RYAN BOWSER
Location Address526 OLD LIVERPOOL RD STE 9Liverpool, NY 13088-6285
Mailing Address79 Glenridge RdGlenville, NY 12302-4523
Sole ProprietorNo
Enumeration DateJuly 3, 2019
NPI 1225690878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
526 OLD LIVERPOOL RD STE 9, Liverpool, NY 13088

Other Identifiers 1

Medicaid01420800NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Cody Ashton Ryan Bowser has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 7, 2026 through January 7, 2028.

Opt-Out Effective DateJanuary 7, 2026
Opt-Out In Effect ThroughJanuary 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Registered Nurse
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Counselor (Mental Health)
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Counselor (Addiction (Substance Use Disorder))
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Counselor (Mental Health)
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088
Registered Nurse
526 OLD LIVERPOOL RD STE 9
LIVERPOOL, NY 13088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Bowser's NPI number?

The NPI number for Cody Bowser is 1225690878. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Cody Bowser located?

Cody Bowser practices at 526 Old Liverpool Rd Ste 9, Liverpool, NY 13088. The listed phone number is (315) 453-3911.

What is Cody Bowser's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Cody Bowser enrolled in Medicare?

No. Cody Bowser has opted out of Medicare through January 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Cody Bowser was last updated on July 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.