Individual provider Active NPI

Beth O'Dell, LCPC, LCMHC, MLADC

  • Mental Health Counselor
  • South Berwick, ME
National Provider Identifier
1053851782
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2118 Issued in NH
Practice address
22 Farmgate Rd
South Berwick, ME 03908-1825
Phone
(207) 436-4026
Fax
(207) 331-8804
NPI assigned
Feb 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1212 NH
Mental Health Counselor 101YM0800X CC6570 ME
Mental Health Counselor 101YM0800X 2118 NH Primary

Addresses

Primary practice location

22 Farmgate Rd
South Berwick, ME 03908-1825

Mailing address

22 Farmgate Rd
South Berwick, ME 03908-1825
Phone (207) 436-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2026 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CC6570MEMDMental Health Counselor
1212NHMDPhysical Therapist
2118NHMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1053851782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FARMGATE RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081825",
            "telephone_number": "207-436-4026",
            "fax_number": "207-331-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FARMGATE RD",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081825",
            "telephone_number": "207-436-4026",
            "fax_number": "207-331-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "BETH",
        "credential": "LCPC, LCMHC, MLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NH",
            "license": "1212",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC6570",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "2118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Berwick, ME

Sources for this page

Verify at the official NPI Registry.