IndividualActive
Cody Shy, CDCA, PRS
NPI 1932836954 · Addiction (Substance Use Disorder) Counselor · Mcdermott, OH
Provider details
- NPI number
- 1932836954
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA, PRS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Other Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
9620 Careys Run Pond Creek Road
Mcdermott, OH 45652
Phone: (740) 858-6683
Street-level locationGet directions
Mailing address
Po Box 402
Wheelersburg, OH 45694-0402
Additional practice locations (1)
- 7175 State Route 104Mc Dermott, OH 45652-8899Phone: (740) 858-6683
Registry dates
- Enumerated
- 2022-08-02
- Last updated
- 2024-07-23
- Certified
- 2024-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.