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Cody Maddock

Counselor - Professional • Pekin, IL

Active NPI 1699253187 Individual Practitioner Male Practitioner
Practice location in NPPES

3248 Vandever Ave
Pekin, IL 615546257

Call 3093475522 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3248 Vandever Ave

Pekin, IL 615546257

Telephone 3093475522
Organization at the Same NPPES Address or Phone
Tazwood Mental Health Center, Inc. Facility NPI 1083671127

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pekin and Illinois

13 active clinicians are listed under Counselor - Professional with a practice address in Pekin, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pekin

7.7% of these 13 clinicians have the CMS telehealth indicator.

23.1% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Rebecca Ala , LCSW

Social Worker - Clinical

NPI 1154353498

Licensed Clinical Social Worker

Dr. Pratap Attaluri , MD

Psychiatry & Neurology - Psychiatry

NPI 1689639213

Doctor of Medicine (M.D.)

Lori Mayo , LSW

Counselor - Mental Health

NPI 1366407892

Licensed Social Worker

Career & Practice History

NPI enumerated August 06, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2018 to August 2026.

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NPI Administrative Meta

NPI Number: 1699253187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2018
Last Update: August 06, 2018
Sole Proprietor: No

Other Counselor - Professionals in Pekin

Healthcare providers in Pekin

Mailing Address

3248 Vandever Ave

Pekin, IL 615546257

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.