Individual provider Active NPI

Lemuel Odom, M.ED, LPC, LCDC

  • Professional Counselor
  • Texas City, TX
National Provider Identifier
1851767099
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71896 Issued in TX
Practice address
1228 N Logan St
Suite 101
Texas City, TX 77590-5172
Phone
(832) 561-2352
NPI assigned
Aug 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12590 TX
Professional Counselor 101YP2500X 71896 TX Primary

Addresses

Primary practice location

1228 N Logan St
Suite 101
Texas City, TX 77590-5172

Mailing address

PO Box 538
Bacliff, TX 77518-0538
Phone (832) 561-2352

Other practice location 1

12234 Shadow Creek Pkwy Ste 10106
Pearland, TX 77584-7343
Phone (346) 206-3992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905000505 TX Practitioner - Mental Health Counselor 1254871254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
71896TXMDProfessional Counselor
12590TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Pointe Counseling & Consultation Addiction (Substance Use Disorder) Current Accepting new patients
Discovery Pointe Counseling & Consultation Current Accepting new patients
The Resilience Center of Houston, LLC Professional CurrentSince Aug 1, 2024 Accepting new patients
Teen and Family Services Addiction (Substance Use Disorder) Past Accepting new patients

Locations

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

12234 Shadow Creek Pkwy
Bldg 10
Pearland, TX 77584
Phone (737) 241-8677

12234 Shadow Creek Pkwy
Ste 10106
Pearland, TX 77584

1228 N Logan St
Ste 101
Texas City, TX 77590
Phone (409) 359-3188

8665 New Trails Dr
Ste 185
The Woodlands, TX 77381

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1851767099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "BACLIFF",
            "state": "TX",
            "postal_code": "775180538",
            "telephone_number": "832-561-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 N LOGAN ST",
            "address_2": "SUITE 101",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905172",
            "telephone_number": "832-561-2352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12234 Shadow Creek Pkwy Ste 10106",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847343",
            "country_code": "US",
            "telephone_number": "346-206-3992",
            "fax_number": "832-652-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODOM",
        "first_name": "LEMUEL",
        "credential": "M.ED, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12590",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.