Individual provider Active NPI

Oddesty K Langham, LPC, NCC

  • Mental Health Counselor
  • Birmingham, AL
National Provider Identifier
1225593650
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2958A Issued in AL
Practice address
1025 23Rd St S Ste 280
Birmingham, AL 35205-2463
Phone
(205) 528-8162
Fax
(205) 270-5098
NPI assigned
Feb 11, 2019
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X C2958A AL Primary

Addresses

Primary practice location

1025 23Rd St S Ste 280
Birmingham, AL 35205-2463

Mailing address

PO Box 383272
Birmingham, AL 35238-3272
Phone (205) 528-8162

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WWW.OKAAWELLNESS.COM

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

LicenseStateTypeSpecialty
C2958AALMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oddesty K LLC CurrentSince Dec 13, 2020 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1225593650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 383272",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352383272",
            "telephone_number": "205-528-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 23RD ST S STE 280",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052463",
            "telephone_number": "205-528-8162",
            "fax_number": "205-270-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGHAM",
        "first_name": "ODDESTY",
        "middle_name": "K",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C2958A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.OKAAWELLNESS.COM",
            "affiliation": "N",
            "address_1": "1025 23rd St S Ste 280",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352052463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.