MR. CODY HAYCOCK CRM
NPI 1457215220
Peer Specialist in La Grande, OR

Q: What is Cody Haycock's NPI number?

The NPI number for Cody Haycock is 1457215220. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Q: What is Cody Haycock's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Cody Haycock was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since December 15, 2025

107 ISLAND AVE, LA GRANDE, OR 97850(541) 304-3205 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Dec 15, 2025 (2 updates tracked since 2025).

On this page

About Mr. Cody Haycock Crm NPPES

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

MR. CODY HAYCOCK CRM (NPI 1457215220) is an individual peer specialist in La Grande, Oregon, licensed in Oregon (25-CRM-4805) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1457215220

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. CODY HAYCOCKCredential: CRM

Location Address107 ISLAND AVELa Grande, OR 97850-2940

Mailing Address2403 Riddle Rd Unit 10La Grande, OR 97850-5336 · (541) 304-3205

Phone(541) 304-3205

Sole ProprietorYes

Enumeration DateDecember 15, 2025

Last NPPES UpdateApril 27, 20262 updates tracked since enumeration

NPPES CertifiedApril 27, 2026

✔ NPI 1457215220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 25-CRM-4805

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

107 ISLAND AVE, La Grande, OR 97850

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

JULIE BEAN CADCI

Counselor (Addiction (Substance Use Disorder))

107 ISLAND AVE
LA GRANDE, OR 97850

Union County (541) 663-4104

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 Haycock's NPI number?

The NPI number for Cody Haycock is 1457215220. It was assigned to this individual provider in the NPPES registry on December 15, 2025.

Where is Cody Haycock located?

Cody Haycock practices at 107 Island Ave, La Grande, OR 97850. The listed phone number is (541) 304-3205.

What is Cody Haycock's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Cody Haycock was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.