Individual provider Active NPI

Katelyn Marie Odom, LMHC

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1124891023
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21524 Issued in FL
Practice address
1549 Airport Blvd Ste 200D
Pensacola, FL 32504-8634
Phone
(850) 416-2535
NPI assigned
Nov 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21524 FL Primary

Addresses

Primary practice location

1549 Airport Blvd Ste 200D
Pensacola, FL 32504-8634

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other names 1

  • Katelyn Marie English Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240223002467 FL Practitioner - Mental Health Counselor 1456796960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

1549 Airport Blvd
Suite 200C
Pensacola, FL 32504-8634
Phone (850) 416-1345

36500 Emerald Coast Pkwy
Destin, FL 32541-4713
Phone (850) 416-1575

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21524FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ventre Medical Associates LLC Mental Health CurrentSince Feb 18, 2024 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Sacred Heart Health System Inc CurrentSince Aug 1, 2025 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Ventre Medical Associates, LLC Mental Health CurrentSince Feb 19, 2024 Accepting new patients
Sacred Heart Medical Group PastSince Sep 28, 2021 Accepting new patients

Locations

7200 Camino Real
Ste 201
Boca Raton, FL 33433
Phone (561) 674-0885

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

7261 Sheridan St
Ste 340
Hollywood, FL 33024

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

1400 E Oakland Park Blvd
Ste 210
Oakland Park, FL 33334
Phone 9545616222111

1549 Airport Blvd
Ste 200D
Pensacola, FL 32504
Phone (850) 416-2535

5901 SW 74th St
Ste 408
South Miami, FL 33143
Phone (305) 735-3555

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1124891023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 AIRPORT BLVD STE 200D",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048634",
            "telephone_number": "850-416-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "ENGLISH",
            "middle_name": "MARIE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.