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CODY ALLEN MITCHEM
NPI 1356129332
Psychologist - Addiction (Substance Use Disorder) in Jackson, OH

Active since September 20, 2023
502 MCCARTY LN STE 1, JACKSON, OH 45640(740) 577-9003(740) 577-9184 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cody Allen Mitchem NPPES

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

CODY ALLEN MITCHEM (NPI 1356129332) is an individual addiction (substance use disorder) provider in Jackson, Ohio and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1356129332
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameCODY ALLEN MITCHEM
Location Address502 MCCARTY LN STE 1Jackson, OH 45640-7025
Mailing Address502 Mccarty Ln Ste 1Jackson, OH 45640-7025 · (740) 577-9003 · Fax (740) 577-9184
Phone(740) 577-9003
Fax(740) 577-9184
Sole ProprietorYes
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1356129332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
Definition

A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
502 MCCARTY LN STE 1, Jackson, OH 45640
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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.

JAY ROSS
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN STE 1
JACKSON, OH 45640
Jackson County (740) 577-9003
MICHAEL RISNER
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN STE 1
JACKSON, OH 45640
Jackson County (740) 577-9003
JOSIAH SPEARS
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN STE 1
JACKSON, OH 45640
Jackson County (740) 577-9003
LACIE VANBIBBER
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN STE 1
JACKSON, OH 45640
Jackson County (740) 577-9003
JOSH RAYBURN
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN STE 1
JACKSON, OH 45640
Jackson County (740) 577-9003
TIMOTHY MATTHEW RYAN CMS
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN STE 1
JACKSON, OH 45640
Jackson County (740) 577-9003
SHAWNA VANDINE
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN STE 1
JACKSON, OH 45640
Jackson County (740) 577-9003
NATOSHA D BLANTON
Counselor (Addiction (Substance Use Disorder))
502 MCCARTY LN STE 1
JACKSON, OH 45640
Jackson County (740) 577-9003

Frequently Asked Questions

What is Cody Mitchem's NPI number?

The NPI number assigned to this healthcare provider is 1356129332, enumerated as an "individual" on September 20, 2023.

Where is the provider located?

The provider is located at 502 MCCARTY LN STE 1 JACKSON, OH 45640 and the phone number is (740) 577-9003.

What is the provider's specialty?

Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).