Ellen Odom, M.S., L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1896 Issued in AL

Practice address

5700 Regency CT S
Mobile, AL 36609-3277

Phone

(251) 379-9434

NPI assigned

Jul 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

University of South Alabama College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellness Collective LLCGroup PAC ID 6800252628, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eodom@twcl-al.direct.office.nextgen.com

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.

• Wellness Collective LLC

  • Counselor
  • Mobile, AL
  • NPI 1740984368
  Medicare reassignment Care Compare group NPD
• Ellen L Odom, LLC

  • Community/Behavioral Health Agency
  • Mobile, AL
  • NPI 1497473870
  NPD Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1578588471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 REGENCY CT S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093277",
            "telephone_number": "251-379-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 REGENCY CT S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093277",
            "telephone_number": "251-379-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "ELLEN",
        "credential": "M.S., L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "515 45863",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oculo-Facial Consultants
• Celestine Odigwe, MD
• Marianna Susan Oditt
• Amy Rebecca Odom, NP
• Catherine Elizabeth Odom, CRNP
• Jacob Odom
• Odyssey Healthcare Operating B, LP
• Edward Lynn Oetken, OTR/L
• Megan McKown Ogburn, PA
• Ogden and Epker, LLC

• Professional Counselor in Mobile, AL
• Providers in Mobile, AL by specialty
• Professional Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2022; 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.