Individual provider Active NPI

Lori Odendahl-Klemish, MS, LMHC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1407108111
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8955 Issued in FL
Practice address
630 S Orange Ave
Suite 200K
Sarasota, FL 34236-7504
Phone
(941) 301-8420
NPI assigned
Oct 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH8955 FL Primary

Addresses

Primary practice location

630 S Orange Ave
Suite 200K
Sarasota, FL 34236-7504

Mailing address

630 S Orange Ave
Suite 200K
Sarasota, FL 34236-7504
Phone (941) 301-8420

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

LicenseStateTypeSpecialty
MH8955FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Counseling Center Mental Health Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1407108111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S ORANGE AVE",
            "address_2": "SUITE 200K",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367504",
            "telephone_number": "941-301-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S ORANGE AVE",
            "address_2": "SUITE 200K",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342367504",
            "telephone_number": "941-301-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODENDAHL-KLEMISH",
        "first_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.