Individual provider Active NPI

Ngozika Odum

  • Professional Counselor
  • Missouri City, TX
National Provider Identifier
1063335776
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
94524 Issued in TX
Practice address
3207 Palm Desert LN
Missouri City, TX 77459-2503
Phone
(979) 488-9097
NPI assigned
Jul 31, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 94524 TX
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 94524 TX Primary

Addresses

Primary practice location

3207 Palm Desert LN
Missouri City, TX 77459-2503

Mailing address

3207 Palm Desert LN
Missouri City, TX 77459-2503
Phone (979) 488-9097

Other practice location 1

3207 Palm Desert Ln
Missouri City, TX 77459-2503
Phone (979) 488-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1063335776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 PALM DESERT LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592503",
            "telephone_number": "979-488-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 PALM DESERT LN",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592503",
            "telephone_number": "979-488-9097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3207 Palm Desert Ln",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774592503",
            "country_code": "US",
            "telephone_number": "979-488-9097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUM",
        "first_name": "NGOZIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "94524",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "94524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.