Cody Black, RADT
NPI 1174377055 · Addiction (Substance Use Disorder) Counselor · San Pedro, CA
Cody Black, RADT is a Addiction (Substance Use Disorder) Counselor provider in San Pedro, CA (NPI 1174377055).
Provider details
- NPI number
- 1174377055
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- RADT
- Sex
- Male
- Sole proprietor
- No
- License
- R1557170424 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-04-16
- Last updated
- 2024-04-16
- Certified
- 2024-04-16
Frequently asked questions
- What is Cody Black's NPI number?
- Cody Black's National Provider Identifier (NPI) is 1174377055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Cody Black's specialty?
- Cody Black is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Cody Black located?
- Cody Black's practice location on file with NPPES is 132 W 10th St, San Pedro, CA 90731-3702.
- What is Cody Black's phone number?
- The practice phone number listed in the NPPES registry for Cody Black is (310) 514-4940.
- Is Cody Black's NPI active?
- Yes — Cody Black's NPI (1174377055) is active in the NPPES registry as of the last update on 2024-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.