Odyssey Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ODYSSEY COUNSELING

Practice address

739 10TH St
Arcata, CA 95521-6209

Phone

(707) 719-9194

NPI assigned

Apr 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Susanne BlancoNPI 1073178828

Title

Sole Proprietor /Owner

Phone

(513) 256-1183

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Susanne Blanco, LMFT

  • Marriage & Family Therapist
  • Arcata, CA
  • NPI 1073178828
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1013763630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 10TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 10TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216209",
            "telephone_number": "707-719-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "SUSANNE",
        "authorized_official_title_or_position": "SOLE PROPRIETOR /OWNER",
        "authorized_official_telephone_number": "513-256-1183"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeyinwa Obi, CNM
• Occupational Health Services of Mad River
• Ana Ocegueda, RN
• David Ochoa
• Jess Erik Odom, MFT
• Julie Marie Ohnemus, MD
• Allison Okonczak
• Teresa Oliveri, RN
• Elizabeth Catherine Olson, LMFT
• Eric Alan Olson, MA

• All providers in Arcata, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.