Kimberly Odom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

007734 Issued in GA

Practice address

1265 Interstate Pkwy
Augusta, GA 30909-6481

Phone

(706) 849-3386

NPI assigned

Nov 4, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Christopher Dennis MD PLLC

  • Psychiatry Physician
  • Johns Creek, GA
  • NPI 1588090229
  Medicare reassignment NPD
• Neighborhood Improvement Project Inc

  • Primary Podiatric Medicine Podiatrist
  • Evans, GA
  • NPI 1124984224
  Medicare reassignment
• Neighborhood Improvement Project Inc

  • Federally Qualified Health Center (FQHC)
  • Evans, GA
  • NPI 1740158922
  NPD
• Neighborhood Improvement Project, Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1700900867
  NPD

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1396140331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WINN WAY STE 221",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301723",
            "telephone_number": "888-588-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096481",
            "telephone_number": "706-849-3386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Faith Dr SE",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310618327",
            "country_code": "US",
            "telephone_number": "770-712-1743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 Winn Way Ste 221",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301723",
            "country_code": "US",
            "telephone_number": "888-588-8995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "007734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ochuwa Strategies LLC
• Hadil Oda
• Carolyn Ann Odell, RN
• Emilia Odi
• Grace Odi, RPH
• Precious Oghenefejiro Odunvbun, M.D.
• Odyssey Healthcare of Augusta, LLC
• Mitchell Oei, MD
• Suzanne Marlene Oellerich, PA-C
• John Stanley Oester, MD

• Professional Counselor in Augusta, GA
• Providers in Augusta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.