Individual provider Active NPI

Christine Odell, MS LPCC JSOC

  • Mental Health Counselor
  • Dayton, OH
National Provider Identifier
1548624133
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E. 0800154 Issued in OH
Practice address
515 Windsor Park Dr
Dayton, OH 45459-4112
Phone
(937) 723-9881
Fax
(937) 723-9888
NPI assigned
Apr 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 E. 0800154 OH Primary

Addresses

Primary practice location

515 Windsor Park Dr
Dayton, OH 45459-4112

Mailing address

515 Windsor Park Dr
Dayton, OH 45459-4112
Phone (937) 723-9881

Other names 1

  • Miss Christine Robin Odell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240924002651 OH Practitioner - Mental Health Counselor 1254872716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keep Moving Forward Counseling and Consulting LLCGroup PAC ID 1658610936, 6 clinicians

Practice addresses (Care Compare)

515 Windsor Park Dr
Dayton, OH 45459-4112
Phone (937) 723-9881

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
E. 0800154OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keep Moving Forward Counseling & Consulting LLC Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

515 Windsor Park Dr
Dayton, OH 45459
Phone (937) 723-9881

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1548624133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 WINDSOR PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594112",
            "telephone_number": "937-723-9881",
            "fax_number": "937-723-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 WINDSOR PARK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594112",
            "telephone_number": "937-723-9881",
            "fax_number": "937-723-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "CHRISTINE",
        "credential": "MS LPCC JSOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E. 0800154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "ODELL",
            "middle_name": "ROBIN",
            "prefix": "MISS",
            "credential": "MS LPCC JSOC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.