Obiajurum Anthonia Odili, LPC-A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

97475 Issued in TX

Practice address

5020 Sam Houston Ave Apt 1222C
Huntsville, TX 77340-6664

Phone

(936) 400-9191

NPI assigned

Jan 20, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1679384408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 SAM HOUSTON AVE APT 1222C",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773406664",
            "telephone_number": "936-400-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 SAM HOUSTON AVE APT 1222C",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773406664",
            "telephone_number": "936-400-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODILI",
        "first_name": "OBIAJURUM",
        "middle_name": "ANTHONIA",
        "credential": "LPC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "97475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Center, Inc.
• Stephanie C Nwadike, FNP-C
• Samuel Nwamba
• Sheryl C Nwankwo, PHARMD
• Jill Ochoa, PTA
• Gabriel Gbenga Ohiani-Jegede, FNP-BC
• Karin Elisa Olson, M.D.
• Toluwaleke Olukoya, PHARMD
• Ana Laura Olvera-Torres, NP
• On the Move Physical Therapy & Wellness

• Mental Health Counselor in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.