Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cody Shy, CDCA, PRS

Individual provider Mental Health Counselor · NPI 1932836954

Cody Shy, CDCA, PRS is a Mental Health Counselor in McDermott, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
3

Practice location Address checks out

9620 Careys Run Pond Creek Rd
McDermott, OH 45652
Phone: (740) 858-6683
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7175 State Route 104, Mc Dermott, OH 45652-8899 — (740) 858-6683

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.175939 (OH)
Mental Health Counselor Taxonomy 101YM0800X (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.004898 (OH)

Record details

NPI number1932836954
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , PRS
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing addressPo Box 402, Wheelersburg, OH 45694-0402

Other providers in McDermott