Active NPI
Odette Denise Bogart, M.S.
- Marriage & Family Therapist
- Fort Pierce, FL
National Provider Identifier
1275838674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT1625
- Practice address
- 121 N 2ND St
Suite 301
Fort Pierce, FL 34950-4435 - Phone
- (772) 595-3773
- NPI assigned
- Jan 14, 2011
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT1625 | FL | Primary |
Addresses
Primary practice location
121 N 2ND St
Suite 301
Fort Pierce, FL 34950-4435
Mailing address
5716 Wolf Lake Rd
Sebring, FL 33875-8055
Phone (863) 446-3369
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1625 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1275838674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5716 WOLF LAKE RD",
"city": "SEBRING",
"state": "FL",
"postal_code": "338758055",
"telephone_number": "863-446-3369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 N 2ND ST",
"address_2": "SUITE 301",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504435",
"telephone_number": "772-595-3773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGART",
"first_name": "ODETTE",
"middle_name": "DENISE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-14",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.