Individual provider Active NPI

Talena Gay Odell

  • Professional Counselor
  • Norman, OK
National Provider Identifier
1851808042
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7303 Issued in OK
Practice address
476 Allen Rd
Norman, OK 73072-9117
Phone
(405) 875-8587
NPI assigned
Jan 9, 2018
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X 7303 OK Primary

Addresses

Primary practice location

476 Allen Rd
Norman, OK 73072-9117

Mailing address

476 Allen Rd
Norman, OK 73072-9117
Phone (405) 875-8587

Other practice location 1

540 Illinois St
Pawnee, OK 74058-2036
Phone (918) 762-1045

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tina@grace-river.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20241024004326 OK Practitioner - Mental Health Counselor 4486187705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Mental Therapy LLCGroup PAC ID 0446783740, 2 clinicians

Practice addresses (Care Compare)

5900 Mosteller Dr
Unit 5
Oklahoma City, OK 73112-4640
Phone (405) 849-6284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7303OKMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Mental Therapy LLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

5900 Mosteller Dr
Unit 5
Oklahoma City, OK 73112
Phone (405) 849-6284

Organizations & group practices 1

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1851808042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 ALLEN RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729117",
            "telephone_number": "405-875-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 ALLEN RD",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729117",
            "telephone_number": "405-875-8587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Illinois St",
            "address_purpose": "LOCATION",
            "city": "Pawnee",
            "state": "OK",
            "postal_code": "740582036",
            "country_code": "US",
            "telephone_number": "918-762-1045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODELL",
        "first_name": "TALENA",
        "middle_name": "GAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina@grace-river.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "476 Allen Road",
            "city": "Norman",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730729117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.