Individual provider Active NPI

Odyessey Webb, LPCA

  • Mental Health Counselor
  • Hope Mills, NC
National Provider Identifier
1063797132
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8991 Issued in NC
Practice address
946 Pecan Grove Loop
Hope Mills, NC 28348-8147
Phone
(917) 569-8752
NPI assigned
Oct 20, 2011
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X 3431-A NC
Mental Health Counselor 101YM0800X 8991 NC Primary
Professional Counselor 101YP2500X 8991 NC

Addresses

Primary practice location

946 Pecan Grove Loop
Hope Mills, NC 28348-8147

Mailing address

946 Pecan Grove Loop
Hope Mills, NC 28348-8147
Phone (917) 569-8752

Other names 1

  • Odyessey Simms Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112000409 NC Practitioner - Mental Health Counselor 1254865496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

946 Pecan Grove Loop
Hope Mills, NC 28348-8147
Phone (910) 302-6877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3431-ANCMDAddiction (Substance Use Disorder) Counselor
9101SCMDPharmacist
8991NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Odyessey Webb PLLC Counselor CurrentSince Aug 29, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1063797132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 PECAN GROVE LOOP",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488147",
            "telephone_number": "917-569-8752",
            "fax_number": "877-552-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 PECAN GROVE LOOP",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488147",
            "telephone_number": "917-569-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "ODYESSEY",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3431-A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "8991",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODYESSEY",
            "last_name": "SIMMS",
            "credential": "LCMHCS, LCAS-A, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hope Mills, NC

Sources for this page

Verify at the official NPI Registry.