MR. CODY LEE CARLSON LPC
NPI 1790262871
Counselor - Professional in Idaho Falls, ID

Active since July 23, 2018PECOS EnrolledAccepts Medicare Assignment
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Cody Lee Carlson Lpc NPPES

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

MR. CODY LEE CARLSON LPC (NPI 1790262871) is an individual professional provider in Idaho Falls, Idaho and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790262871
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. CODY LEE CARLSONCredential: LPC
Location Address2275 W BROADWAY ST STE GIdaho Falls, ID 83402-2902
Mailing Address4730 Davis CirIona, ID 83427-5501 · (208) 709-6360
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 23, 2018
NPI 1790262871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
2275 W BROADWAY ST STE G, Idaho Falls, ID 83402

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Cody Lee Carlson Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375071517
PECOS Enrollment IDI20250115001991
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor (Professional)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Counselor (Mental Health)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402

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 Carlson's NPI number?

The NPI number for Cody Carlson is 1790262871. It was assigned to this individual provider in the NPPES registry on July 23, 2018.

Where is Cody Carlson located?

Cody Carlson practices at 2275 W Broadway St Ste G, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Cody Carlson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Cody Carlson enrolled in Medicare?

Yes. Cody Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cody Carlson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Cody Carlson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cody Carlson was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.