Active NPI
Cuba Marie Odneal, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1871785600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62203
- Practice address
- 4525 Lemmon Ave
Suite 200
Dallas, TX 75219-2145 - Phone
- (214) 526-4525
- Fax
- (214) 520-6468
- NPI assigned
- Aug 15, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62203 | TX | Primary |
Addresses
Primary practice location
4525 Lemmon Ave
Suite 200
Dallas, TX 75219-2145
Mailing address
4525 Lemmon Ave
Suite 200
Dallas, TX 75219-2145
Phone (214) 526-4525
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 |
|---|---|---|---|
| 62203 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1871785600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 LEMMON AVE",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752192145",
"telephone_number": "214-526-4525",
"fax_number": "214-520-6468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 LEMMON AVE",
"address_2": "SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752192145",
"telephone_number": "214-526-4525",
"fax_number": "214-520-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODNEAL",
"first_name": "CUBA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.