Odette Amanda E Butler, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61023343 Issued in WA

Practice address

2375 E Camelback Rd Ste 600
Phoenix, AZ 85016-3493

Phone

(206) 905-3600

NPI assigned

Apr 20, 2017

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 names 1

• Odette Amanda Prince Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  GA

  Medicare reassignment NPD
• Micgra Psych

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1366255432
  NPD Authorized official
• Micgra Telehealth LLLP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, GA
  • NPI 1013548981
  NPD Authorized official

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1669906228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ANDOVER PARK W STE 200",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883379",
            "telephone_number": "404-985-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E CAMELBACK RD STE 600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163493",
            "telephone_number": "206-905-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Marquette Ave NW Ste 600",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871025347",
            "country_code": "US",
            "telephone_number": "206-905-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 W Bannock St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837026140",
            "country_code": "US",
            "telephone_number": "206-905-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 Allen Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770197123",
            "country_code": "US",
            "telephone_number": "206-905-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 WI Parkway",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "30132",
            "country_code": "US",
            "telephone_number": "800-867-1024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Andover Park W",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981883379",
            "country_code": "US",
            "telephone_number": "404-751-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ODETTE AMANDA",
        "middle_name": "E",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61023343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODETTE AMANDA",
            "last_name": "PRINCE",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Thomas Butler, DO
• Kaylin Michelle Butler
• Lauren Michelle Butler
• Lisa Marie Butler, DMD
• Melissa Gail Butler, MS, CCC-SLP
• Rachel A Butler, NNP
• Rex Travis Butler, DDS
• Shamekia Butler
• Stephanie Marie Butler, LAMFT
• Tommie Lee Butler, DNP

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.