Individual provider Active NPI

Cheryl Oden, MA

  • Mental Health Counselor
  • Kokomo, IN
National Provider Identifier
1225316979
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39002405A Issued in IN
Practice address
1810 Dogwood Dr
Kokomo, IN 46902-5737
Phone
(765) 553-5691
Fax
(765) 553-5772
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 39002405A IN Primary

Addresses

Primary practice location

1810 Dogwood Dr
Kokomo, IN 46902-5737

Mailing address

1112 Veachs CT
Peru, IN 46970-3002
Phone (765) 472-2323

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
39002405AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Season of Counseling L.L.C. Mental Health Current Accepting new patients

Locations

1810 Dogwood Dr
Kokomo, IN 46902
Phone (765) 252-3822

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1225316979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 VEACHS CT",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469703002",
            "telephone_number": "765-472-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 DOGWOOD DR",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469025737",
            "telephone_number": "765-553-5691",
            "fax_number": "765-553-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEN",
        "first_name": "CHERYL",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002405A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.