Odyssey Mental Wellness PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ODYSSEY MENTAL WELLNESS PC

Practice address

1820 E 17TH St Ste 115
Idaho Falls, ID 83404-6472

Phone

(208) 520-7074

Fax

(208) 970-6188

NPI assigned

Nov 4, 2024

Last updated

Jun 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mitchell BarneyNPI 1225624281

Title

Owner

Phone

(208) 696-2628

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mitchell Ray Barney, LSMW

  • Mental Health Counselor
  • Idaho Falls, ID
  • NPI 1225624281
  NPD Authorized official
• Lisa Bell, LCSW

  • Clinical Social Worker
  • Idaho Falls, ID
  • NPI 1558656652
  NPD

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1023831468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E 17TH ST STE 115",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 E 17TH ST STE 115",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046472",
            "telephone_number": "208-520-7074",
            "fax_number": "208-970-6188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 S 5th Ave Ste 146",
            "address_purpose": "LOCATION",
            "city": "Pocatello",
            "state": "ID",
            "postal_code": "832016400",
            "country_code": "US",
            "telephone_number": "208-696-2628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ODYSSEY MENTAL WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-696-2628"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obstetrics and Gynecology Associates of Idaho Falls (OB-GYN Assoc of Idaho Falls)
• Ruby Ocampo
• Occupational Therapy PA
• Kevin Brent Odette, M.A., PSR
• Odyssey Charter School
• Emily Katherine Oe, PA
• Keith K. Ogasawara, MD
• Miranda Christine Ogden, RN, MSN, NP-C
• Brittany Michelle Ohman, LMSW
• Gary L Olaveson, DC

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.