Active NPI
Odyssey Wellness Counseling LLC
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1063261733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- ODYSSEY WELLNESS COUNSELING LLC
- Practice address
- 3080 Forrester CT
San Diego, CA 92123-3119 - Phone
- (858) 688-3612
- NPI assigned
- May 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Hatcher, LMFT
- Title
- Proprietor
- Phone
- (858) 688-3612
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3080 Forrester CT
San Diego, CA 92123-3119
Mailing address
3080 Forrester CT
San Diego, CA 92123-3119
Phone (858) 688-3612
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Visalia, CA
- NPI 1730377227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1063261733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3080 FORRESTER CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233119",
"telephone_number": "858-688-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3080 FORRESTER CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921233119",
"telephone_number": "858-688-3612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY WELLNESS COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "HATCHER",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "858-688-3612",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.