Jennifer Spencer Odom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

66766 Issued in TX

Practice address

4031 W Plano Pkwy
Plano, TX 75093-5619

Phone

(214) 351-3490

NPI assigned

Mar 29, 2012

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

• Jennifer Renee Spencer Former name

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": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1689940090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935619",
            "telephone_number": "214-351-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935619",
            "telephone_number": "214-351-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "JENNIFER",
        "middle_name": "SPENCER",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SPENCER",
            "middle_name": "RENEE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barikat Aruna Oderinde, FNP-C
• Odette Louise Campbell MD PA
• Odette Louise Campbell, MD, PA
• Coleman Alexander Odlozil, MD
• Benjamin Lee Odom, PT, DPT
• Todd A Odom, MD
• Odyssey Dental Anesthesia PA
• Carryl Tan Oei, DO
• Jacob Christopher Oergel, D.C.
• Dinah M. Ogeto

• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.