Active NPI
Sumer Rayna Odom
- Counselor
- Springdale, OH
National Provider Identifier
1760141691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1329 E Kemper Rd
Springdale, OH 45246-5101 - Phone
- (859) 907-5608
- NPI assigned
- Dec 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1329 E Kemper Rd
Springdale, OH 45246-5101
Mailing address
15611 Lebanon Crittenden Rd
Verona, KY 41092-8231
Phone (859) 907-5608
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638921600000",
"number": "1760141691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15611 LEBANON CRITTENDEN RD",
"city": "VERONA",
"state": "KY",
"postal_code": "410928231",
"telephone_number": "859-907-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 E KEMPER RD",
"city": "SPRINGDALE",
"state": "OH",
"postal_code": "452465101",
"telephone_number": "859-907-5608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODOM",
"first_name": "SUMER RAYNA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "1329 E Kemper Rd",
"city": "Springdale",
"state": "OH",
"country_code": "US",
"postal_code": "452465101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Springdale, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.