Individual provider · Type 1 NPI
Cody Allen Burgess
Peer Specialist · Blackfoot, ID
NPI number
1245174713
Active
Practice location
495 N Shilling Ave Apt 1
Blackfoot, ID 83221-2336
Mailing address
385 Golden St Apt 1
Blackfoot, ID 83221-2775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Other peer specialist providers in Blackfoot
About NPI 1245174713
Cody Allen Burgess's National Provider Identifier is 1245174713, issued on Apr 16, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Blackfoot, ID. The record was last updated on Apr 16, 2026.