Active NPI
Deborah Jean Odom, LBP
- Mental Health Counselor
- Lawton, OK
National Provider Identifier
1104157692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7204 NW Compass Dr
Lawton, OK 73505-5423 - Phone
- (580) 583-3556
- NPI assigned
- Jan 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7204 NW Compass Dr
Lawton, OK 73505-5423
Mailing address
7204 NW Compass Dr
Lawton, OK 73505-5423
Phone (580) 583-3556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100734740-F | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367366400000",
"number": "1104157692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7204 NW COMPASS DR",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055423",
"telephone_number": "580-583-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7204 NW COMPASS DR",
"city": "LAWTON",
"state": "OK",
"postal_code": "735055423",
"telephone_number": "580-583-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "DEBORAH",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LBP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2013-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100734740-F",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.