Odyssey Juvenile Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1023927 Issued in MN

Legal business name

ODYSSEY JUVENILE SERVICES

Practice address

1600 Cty Rd 55
Hastings, MN 55003

Phone

(612) 326-7555

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Bundy

Title

Controller

Phone

(612) 326-7555

Specialties & licenses 1

Addresses

Tax ID family

Odyssey County Home School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Odyssey County Home School

  • Addiction (Substance Use Disorder) Counselor
  • Minnetonka, MN
  • NPI 1912110651
  NPD tax ID

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730393737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MAIN ST",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123271",
            "telephone_number": "612-326-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CTY RD 55",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "55003",
            "telephone_number": "612-326-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY JUVENILE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "612-326-7555"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1023927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Elizabeth Noble, PA-C
• Lauren Noel, LMFT
• James P. Noreen, M.D.
• Randall H. Norsby, D.C.
• Cavan Joseph O'Brien, DC
• Odyssey Programs, LLC (Odyssey - Dakota County Juvenile Service Center)
• Optimal Health Chiropractic, P.C. (Optimal Health Chiropractic)
• Ashley Marie Orchard, LMFT
• Jennie M Orr, MD
• Rebecca Ortiz

• Addiction (Substance Use Disorder) Counselor in Hastings, MN
• Providers in Hastings, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.