Active NPI
Odyssey Stability Support Services Inc
- Case Management Agency
- Houston, TX
National Provider Identifier
1669794848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- ODYSSEY STABILITY SUPPORT SERVICES INC
- Practice address
- 220 N Vista Dr
Houston, TX 77073-3419 - Phone
- (281) 787-1429
- Fax
- (281) 444-1134
- NPI assigned
- Feb 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dimitra Kellum
- Title
- Operations Officer
- Phone
- (281) 787-1429
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Public Health or Welfare Agency | 251K00000X | |||
| Preferred Provider Organization | 305R00000X |
Addresses
Primary practice location
220 N Vista Dr
Houston, TX 77073-3419
Mailing address
220 N Vista Dr
Houston, TX 77073-3419
Phone (281) 787-1429
National Provider Directory
National Provider DirectoryLocations
220 N Vista Dr
Houston, TX 77073
Phone (281) 787-1429
744 FM 1960 Rd W
Ste B
Houston, TX 77090
Phone (281) 787-7965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607558400000",
"number": "1669794848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N VISTA DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770733419",
"telephone_number": "281-787-1429",
"fax_number": "281-444-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N VISTA DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770733419",
"telephone_number": "281-787-1429",
"fax_number": "281-444-1134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY STABILITY SUPPORT SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-16",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A",
"authorized_official_last_name": "KELLUM",
"authorized_official_first_name": "DIMITRA",
"authorized_official_title_or_position": "OPERATIONS OFFICER",
"authorized_official_telephone_number": "281-787-1429"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.