Odyssey Counseling LTD

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ODYSSEY COUNSELING LTD

Practice address

5780 Lincoln Dr Ste 123
Edina, MN 55436-1600

Phone

(952) 592-8114

Fax

(952) 209-6622

NPI assigned

Sep 16, 2022

Organization subpart

No

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

Authorized official

Name

Reece Forrester, MA, LMFTNPI 1073799102

Title

Owner/President

Phone

(952) 592-8114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

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

• Reece A. Forrester, MA, LMFT

  • Marriage & Family Therapist
  • Edina, MN
  • NPI 1073799102
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1124740071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5780 LINCOLN DR STE 123",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361600",
            "telephone_number": "952-592-8114",
            "fax_number": "952-209-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 LINCOLN DR STE 123",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361600",
            "telephone_number": "952-592-8114",
            "fax_number": "952-209-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY COUNSELING LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "REECE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "952-592-8114",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Carol Ochsner, APNP
• John Oconnell, M.D.
• Kevin A Oconnor, M.D.
• Guy Mark Odishaw, CMT
• Lee W Odland, DDS
• Cheryl Lynn Oeltjenbruns, PAC
• Ofa Touch LLC
• David Makonde Ogato, CNP
• Lynne Marie Ogg
• Ohana Mental Health LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Edina, MN
• Providers in Edina, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.