Active NPI
Odaris Palacios, LMHC
- Mental Health Counselor
- New York, NY
National Provider Identifier
1376295238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 016604
- Practice address
- 347 5TH Ave RM 610
New York, NY 10016-5004 - Phone
- (646) 450-6778
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 016604 | NY | Primary |
Addresses
Primary practice location
347 5TH Ave RM 610
New York, NY 10016-5004
Mailing address
5956 Madison St Apt 3F
Ridgewood, NY 11385-3906
Phone (516) 508-3611
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients | |
| New York Psychotherapy and Counseling Center | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1376295238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5956 MADISON ST APT 3F",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113853906",
"telephone_number": "516-508-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 5TH AVE RM 610",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165004",
"telephone_number": "646-450-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS",
"first_name": "ODARIS",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "016604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.