1. Home
  2. Directory
  3. Ohio
  4. Mcdermott
  5. Counselor
  6. NPI Profile

CODY SHY CDCA, PRS
NPI 1932836954
Counselor - Addiction (Substance Use Disorder) in Mcdermott, OH

Active since August 02, 2022
9620 CAREYS RUN POND CREEK ROAD, MCDERMOTT, OH 45652(740) 858-6683 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2024, Oct 12, 2023, Aug 2, 2022 (3 updates tracked since 2022).

About Cody Shy Cdca, Prs NPPES

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

CODY SHY CDCA, PRS (NPI 1932836954) is an individual addiction (substance use disorder) provider in Mcdermott, Ohio, licensed in Ohio (CDCA.175939) and active in the NPI registry since August 2022. He maintains a secondary practice location in Mc Dermott.

NPPES Registry Identity

NPI1932836954
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCODY SHYCredential: CDCA, PRS
Location Address9620 CAREYS RUN POND CREEK ROADMcdermott, OH 45652
Mailing AddressPo Box 402Wheelersburg, OH 45694-0402
Phone(740) 858-6683
Sole ProprietorNo
Enumeration DateAugust 2, 2022
Last NPPES UpdateJuly 23, 20243 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
✔ NPI 1932836954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.175939
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPeer SpecialistTaxonomy 175T00000X · License APS.004898 (OH)
9620 CAREYS RUN POND CREEK ROAD, Mcdermott, OH 45652
Open in Google Maps ↗

Secondary Practice Location 1

Location 17175 State Route 104Mc Dermott, OH 45652-8899 · Phone (740) 858-6683

Other Identifiers 1

Medicaid0000733OH

Other Providers at the Same Location NPPES 7

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

CLAYTON MEADOWS CMS, QMHS
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK ROAD
MCDERMOTT, OH 45652
Scioto County (740) 858-6683
MICHAEL HALL
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK ROAD
MCDERMOTT, OH 45652
Scioto County (740) 858-6683
JONAH LAWSON CDCA
Counselor (Addiction (Substance Use Disorder))
9620 CAREYS RUN POND CREEK ROAD
MCDERMOTT, OH 45652
Scioto County (740) 858-6683
RYAN RAWLINS
Counselor (Addiction (Substance Use Disorder))
9620 CAREYS RUN POND CREEK ROAD
MCDERMOTT, OH 45652
Scioto County (740) 858-6683
DUSTIN ANTHONY CDCA PRS
Counselor (Addiction (Substance Use Disorder))
9620 CAREYS RUN POND CREEK ROAD
MCDERMOTT, OH 45652
Scioto County (740) 858-6683
BROOKE JAMES CDCA
Counselor (Addiction (Substance Use Disorder))
9620 CAREYS RUN POND CREEK ROAD
MCDERMOTT, OH 45652
Scioto County (740) 858-6683
MATTHEW KEMPF LCDCII
Counselor (Addiction (Substance Use Disorder))
9620 CAREYS RUN POND CREEK ROAD
MCDERMOTT, OH 45652
Scioto County (740) 858-6683

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 Shy's NPI number?

The NPI number for Cody Shy is 1932836954. It was assigned to this individual provider in the NPPES registry on August 2, 2022.

Where is Cody Shy located?

Cody Shy practices at 9620 Careys Run Pond Creek Road, Mcdermott, OH 45652. The listed phone number is (740) 858-6683.

What is Cody Shy's specialty?

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

When was this NPI record last updated?

The NPPES record for Cody Shy was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.