CODY LEDOUX (LPC) – Professional Counselor, NPI 1295245017

CODY LEDOUX (LPC) is a healthcare provider. based in Little rock, Arkansas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. P2502012 (AR). The NPI Number for CODY LEDOUX (LPC) is 1295245017

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
CODY LEDOUX (LPC)
NPI
1295245017
Phone
(501) 666-8686
Address
6601 W 12TH ST
Enumeration Date
6 October 2017
Last Update Date
4 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5013154224
Graduation Year
2021 (5 years ago)
PAC ID
2567984990
Group Practice PAC ID
6204885304
Professional Enrollment ID
I20250314002097
Address ID
AR720154436BE110XXPEAR200
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

640 MENTAL HEALTH COUNSELOR in AR

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Provider Addresses for CODY LEDOUX (LPC)

  • 6601, West 12th Street, University Park, Oak Forest, Little Rock, Pulaski County, Arkansas, 72204, United States

    LITTLE ROCK, AR 722041513

    Phone: (501) 666-8686

    Type: Mailing

  • 110 PEARSON

    BENTON, AR 720154436

    Phone: (501) 315-4224

    Fax: (501) 778-0450

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250314002097IMental Health CounselorARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204885304View full group profile
NameSpecialtyState
Clinical Social WorkerAR
-MO
Clinical Social WorkerAR
Nurse PractitionerAR
Mental Health CounselorAR
Mental Health CounselorAR
Clinical Social WorkerAR
Clinical Social WorkerAR
P S Y C H I A T R YAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

What number should I use to identify CODY LEDOUX (LPC) for billing?
Administrative and clinical systems typically use NPI 1295245017 for CODY LEDOUX (LPC).
Is CODY LEDOUX (LPC)'s NPI status active today?
Active status means CODY LEDOUX (LPC)'s NPI record is not deactivated in the public file.
What does the directory say CODY LEDOUX (LPC) does?
Insurance directories may phrase it differently, but here CODY LEDOUX (LPC) maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to CODY LEDOUX (LPC)?
The directory associates CODY LEDOUX (LPC) with Little Rock, Arkansas. Check all listed addresses for suites or satellite offices.
Can I export CODY LEDOUX (LPC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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