New Directions Healing Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0219 Issued in MN

Legal business name

NEW DIRECTIONS HEALING CENTER LLC

Practice address

213 E 2ND St
Fairmont, MN 56031-2814

Phone

(507) 236-1306

NPI assigned

May 19, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth Ann Odom, LPCCNPI 1669773636

Title

Sole Member

Phone

(507) 848-1026

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Ann Odom, LPCC

  • Professional Counselor
  • Fairmont, MN
  • NPI 1669773636
  NPD Authorized official

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526688000000",
    "number": "1578054144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E 2ND ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560312814",
            "telephone_number": "507-236-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E 2ND ST",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560312814",
            "telephone_number": "507-236-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIRECTIONS HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-19",
        "last_updated": "2018-05-19",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "507-848-1026",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "0219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirmala Narasimha, MD
• Nathan C. Jorgenson, DDS, PA
• Roger Neist, M.D.
• Michele Nelson, RPH
• Holly Nestegard, PHARMD
• Erik S Nitchie, LICSW
• Elizabeth Ann Odom, LPCC
• Richard Odom
• Bradley Olsen, CDT
• Okechukwu Ndubuisi Osuebi, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; 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.