Organization Active NPI

The Odyssey Foundation Inc

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1174760912
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW00003210 Issued in FL
Legal business name
THE ODYSSEY FOUNDATION INC
Practice address
205 NE 5TH Ter
Delray Beach, FL 33444-3866
Phone
(561) 276-0020
Fax
(561) 265-0333
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Mrs. Elizabeth Anne Caparros, MSW, LCSWNPI 1831223601
Title
Licensed Clinical Psychotherapist
Phone
(561) 573-3595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X SW00003210 FL Primary

Addresses

Primary practice location

205 NE 5TH Ter
Delray Beach, FL 33444-3866

Mailing address

205 NE 5TH Ter
Delray Beach, FL 33444-3866
Phone (561) 276-0020

Other names 1

  • DBA/Counseling Centre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000456 FL Part B Supplier - Clinic/Group Practice 9739243494 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

333 Camino Gardens Blvd
Ste 102
Boca Raton, FL 33432
Phone (561) 394-8833

2240 W Woolbright Rd
Ste 351
Boynton Beach, FL 33426
Phone (561) 215-4023

205 NE 5th Ter
Delray Beach, FL 33444
Phone (561) 276-0020

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1174760912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 NE 5TH TER",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443866",
            "telephone_number": "561-276-0020",
            "fax_number": "561-265-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 NE 5TH TER",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443866",
            "telephone_number": "561-276-0020",
            "fax_number": "561-265-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ODYSSEY FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "CAPARROS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "561-573-3595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW00003210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA/Counseling Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.