Individual provider Active NPI

Oddette Pitter Adderley, LMHC

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1720722390
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20544 Issued in FL
Practice address
10031 Pines Blvd Ste 248
Pembroke Pines, FL 33024-6180
Phone
(305) 570-9175
NPI assigned
Apr 20, 2022
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH20544 FL
Mental Health Counselor 101YM0800X MH20544 FL Primary

Addresses

Primary practice location

10031 Pines Blvd Ste 248
Pembroke Pines, FL 33024-6180

Mailing address

8520 NW 5TH St
Pembroke Pines, FL 33024-6646
Phone (305) 495-8219

Other practice location 1

9350 Sunset Dr Ste 151
Miami, FL 33173-3286
Phone (786) 548-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH20544FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dade Family Counseling Community Mental Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

1951 NW 17th Ave
Miami, FL 33125
Phone (305) 324-5989

9350 Sunset Dr
Ste 151
Miami, FL 33173
Phone (786) 548-1022

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1720722390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 NW 5TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246646",
            "telephone_number": "305-495-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 PINES BLVD STE 248",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246180",
            "telephone_number": "305-570-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9350 Sunset Dr Ste 151",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733286",
            "country_code": "US",
            "telephone_number": "786-548-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADDERLEY",
        "first_name": "ODDETTE",
        "middle_name": "PITTER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH20544",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.