Active NPI
Telisha Odums-Oladele, LPC, ED.S
- Professional Counselor
- Pooler, GA
National Provider Identifier
1144979766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC010580
- Practice address
- 138 Canal St Ste 506
Pooler, GA 31322-4049 - Phone
- (912) 306-6854
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC010580 | GA | Primary |
Addresses
Primary practice location
138 Canal St Ste 506
Pooler, GA 31322-4049
Mailing address
462 Stonebridge Cir
Savannah, GA 31419-9854
Phone (912) 306-6854
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010580 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1144979766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 STONEBRIDGE CIR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314199854",
"telephone_number": "912-306-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 CANAL ST STE 506",
"city": "POOLER",
"state": "GA",
"postal_code": "313224049",
"telephone_number": "912-306-6854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODUMS-OLADELE",
"first_name": "TELISHA",
"credential": "LPC, ED.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC010580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.