Individual provider Active NPI

Ariarna M Odom, LGPC

  • Professional Counselor
  • Waldorf, MD
National Provider Identifier
1265236988
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGPC20001871 Issued in DC
Practice address
1036 Saint Nicholas Dr Unit 102
Waldorf, MD 20603-4758
Phone
(410) 934-0580
Fax
(410) 834-1217
NPI assigned
Apr 2, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGPC20001871 DC Primary

Addresses

Primary practice location

1036 Saint Nicholas Dr Unit 102
Waldorf, MD 20603-4758

Mailing address

44 Buchanan St NE
Washington, DC 20011-6718
Phone (202) 306-3014

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
LGPC20001871DCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
One Alkaline Life, LLC CurrentSince Apr 6, 2025 Accepting new patients
One Alkaline Life LLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

1036 Saint Nicholas Dr
Unit 102
Waldorf, MD 20603
Phone (410) 934-0580

Organizations & group practices 2

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": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1265236988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BUCHANAN ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200116718",
            "telephone_number": "202-306-3014",
            "fax_number": "410-834-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SAINT NICHOLAS DR UNIT 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034758",
            "telephone_number": "410-934-0580",
            "fax_number": "410-834-1217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "ARIARNA",
        "middle_name": "M",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DC",
            "license": "LGPC20001871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.