Odyssey Counseling LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ODYSSEY COUNSELING LLC

Practice address

120 Osprey Nest CT
Blythewood, SC 29016-8024

Phone

(803) 728-6115

NPI assigned

Aug 24, 2024

Organization subpart

No

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

Authorized official

Name

Paola Von Oelffen

Title

Partner

Phone

(803) 728-6115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1811720782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 177",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290160177",
            "telephone_number": "803-728-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 OSPREY NEST CT",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168024",
            "telephone_number": "803-728-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "VON OELFFEN",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-728-6115"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.