Active NPI
Paula Joyelle Odland, LMFT
- Marriage & Family Therapist
- Alexandria, MN
National Provider Identifier
1811059454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1361
- Practice address
- 1210 Broadway St.
Suite 200
Alexandria, MN 56308 - Phone
- (320) 491-2303
- Fax
- (320) 762-6541
- NPI assigned
- Dec 13, 2006
- Last updated
- Jan 19, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1361 | MN | Primary |
Addresses
Primary practice location
1210 Broadway St.
Suite 200
Alexandria, MN 56308
Mailing address
1210 Broadway St.
Suite 200
Alexandria, MN 56308
Phone (320) 491-2303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1361 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1811059454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 BROADWAY ST.",
"address_2": "SUITE 200",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "56308",
"telephone_number": "320-491-2303",
"fax_number": "320-762-6541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 BROADWAY ST.",
"address_2": "SUITE 200",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "56308",
"telephone_number": "320-491-2303",
"fax_number": "320-762-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODLAND",
"first_name": "PAULA",
"middle_name": "JOYELLE",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "1361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.