Theresa Odden, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2953 Issued in MN

Practice address

14091 Baxter Dr Ste 112
Baxter, MN 56425-8703

Phone

(218) 585-2052

NPI assigned

Aug 4, 2021

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 MN

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Northernwaters Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baxter, MN
  • NPI 1912660259

  MN

  Medicare reassignment NPD Authorized official
• Clearwaters Crosby LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baxter, MN
  • NPI 1093389736
  NPD
• True Balance LTD

  • Multi-Specialty Clinic/Center
  • Little Falls, MN
  • NPI 1205025442
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1457025439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14091 BAXTER DR STE 112",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258703",
            "telephone_number": "218-585-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14091 BAXTER DR STE 112",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258703",
            "telephone_number": "218-585-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODDEN",
        "first_name": "THERESA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "2953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northway Academy, Inc.
• Northway Academy, Inc.
• Etta Norton
• Elissa Anne Nygaard
• Nicholas Ryan O'Reilly
• Jacqueline Elizabeth Oelfke, APN-CFNP
• Kelby Olson-Rodel
• Annaleah Nicole Olson
• Jeffrey E Olson, DDS
• Jennifer Ann Olson

• All providers in Baxter, MN
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2026; 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.