Organization Active NPI

Odyssey Stability Support Services Inc

  • Case Management Agency
  • Houston, TX
National Provider Identifier
1669794848
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Dec 10, 2020

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.