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

Mr. Cody L Beaton, LSCSW, LCAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1235518291

Mr. Cody L Beaton, LSCSW, LCAC is an Addiction (Substance Use Disorder) Counselor in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2015.

Licensed in
KS
In the registry since
2015
Specialties on file
2

Practice location Address checks out

9333 E 21st St N
Wichita, KS 67206-2927
Phone: (316) 634-4700
Fax: (316) 634-4770
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4808 (KS)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 658 (KS)

Record details

NPI number1235518291
Entity typeIndividual (Type 1)
GenderMale
Credentials LSCSW , LCAC
Sole proprietorNo
NPI enumeratedMay 23, 2015
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025

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