Organization Active NPI

Odyssey Wellness Counseling LLC

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1063261733
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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

Updated by the provider on May 15, 2024

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

Authorized official

Name
Amy Hatcher, LMFTNPI 1730377227
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.