Organization Active NPI

Odein Counselling and Rehab LLC

  • Community/Behavioral Health Agency
  • Plano, TX
National Provider Identifier
1447668173
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
65641 Issued in TX
Legal business name
ODEIN COUNSELLING AND REHAB LLC
Practice address
3800 E Parker Rd
Plano, TX 75074-7731
Phone
(214) 476-3603
NPI assigned
Jul 25, 2014
Last updated
Jul 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Mrs. Ibifubara Dayeba OmewahNPI 1083961122
Title
Pastor/Counselor
Phone
(214) 476-3603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 65641 TX Primary

Addresses

Primary practice location

3800 E Parker Rd
Plano, TX 75074-7731

Mailing address

3800 E Parker Rd
Plano, TX 75074-7731
Phone (214) 476-3603

Other identifiers 1

IdentifierTypeStateIssuer
3092272-02MedicaidTX

National Provider Directory

National Provider Directory

Locations

3800 E Parker Rd
Plano, TX 75074
Phone (214) 476-3603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1447668173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747731",
            "telephone_number": "214-476-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E PARKER RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750747731",
            "telephone_number": "214-476-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODEIN COUNSELLING AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "OMEWAH",
        "authorized_official_first_name": "IBIFUBARA",
        "authorized_official_middle_name": "DAYEBA",
        "authorized_official_title_or_position": "PASTOR/COUNSELOR",
        "authorized_official_telephone_number": "214-476-3603",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "65641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3092272-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.