Individual provider Active NPI

Sharon Lisa Odom

  • Mental Health Counselor
  • Simpsonville, SC
National Provider Identifier
1780384982
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8037 Issued in SC
Practice address
879 NE Main St Ste a
Simpsonville, SC 29681-2056
Phone
(864) 688-9416
NPI assigned
Mar 6, 2023
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8037 SC Primary

Addresses

Primary practice location

879 NE Main St Ste a
Simpsonville, SC 29681-2056

Mailing address

4595 Lexington Ave
Jacksonville, FL 32210-2058
Phone (904) 448-4700

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

State licenses

LicenseStateTypeSpecialty
8037SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashwood Counseling, LLC Professional CurrentSince Mar 15, 2024 Accepting new patients
Child Guidance Center, Inc. PastSince Jun 22, 2021 Accepting new patients

Locations

879 NE Main St
Ste A
Simpsonville, SC 29681
Phone (864) 363-0158

Organizations & group practices 2

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1780384982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4595 LEXINGTON AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102058",
            "telephone_number": "904-448-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 NE MAIN ST STE A",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296812056",
            "telephone_number": "864-688-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "SHARON",
        "middle_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "8037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.