Amy Odermatt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5121 S Lakeland Dr Ste 4
Lakeland, FL 33813-2623

Phone

(863) 606-5922

NPI assigned

Apr 28, 2010

Last updated

May 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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 FL

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• New Directions Counseling Center LLC

  • Counseling Psychologist
  • Lakeland, FL
  • NPI 1427318799

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1407173669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 S LAKELAND DR STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 S LAKELAND DR STE 4",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132623",
            "telephone_number": "863-606-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODERMATT",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Cedar Clinic P a
• Leanet Oceguera
• Kimberly Ochs, MS-CCC-SLP
• Maria Solina Napiza Oconer, M.D.
• Stanise Octave
• Ryan M Odil, O.D.
• Nicole E Odom, PHARM D
• Odro, Fazekas & Werd PA (Foot and Ankle Associates)
• Odro, Fazekas & Werd PA (Foot & Ankle Associates)
• Marvin Odro, DPM

• Mental Health Counselor in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.