Tina Odom, IMF

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

7070 Schirra CT Ste 200
Bakersfield, CA 93313-2122

Phone

(661) 834-7564

Fax

(661) 831-8882

NPI assigned

Jun 22, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• S. R. Crouch & Associates

  • Marriage & Family Therapist
  • Bakersfield, CA
  • NPI 1952566937
  NPD (past)

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1871944603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7070 SCHIRRA CT STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132122",
            "telephone_number": "661-834-7564",
            "fax_number": "661-831-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7070 SCHIRRA CT STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132122",
            "telephone_number": "661-834-7564",
            "fax_number": "661-831-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "TINA",
        "credential": "IMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nneka D.I. Odeluga, CLS, PA-C
• Heather Marie Odem, PHARM.D.
• Mackenzie Odle
• Stephanie Kay Odom
• Susan P Odom, PT
• Suzanne Odonnell, LVN II
• Odyssey Healthcare Operating a LP
• Michael Gerard Oefelein, M.D.
• Geoff Paul Oehler
• Patricia Oesch, ASW

• Marriage & Family Therapist in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.