Individual provider Active NPI

Troy D Odom, MED, LPC

  • Professional Counselor
  • Springfield, MO
National Provider Identifier
1881356707
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2021048302 Issued in MO
Practice address
2864 S Nettleton Ave
Springfield, MO 65807-5970
Phone
(417) 605-7100
Fax
(417) 708-0889
NPI assigned
Oct 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2021048302 MO Primary

Addresses

Primary practice location

2864 S Nettleton Ave
Springfield, MO 65807-5970

Mailing address

2864 S Nettleton Ave
Springfield, MO 65807-5970
Phone (417) 605-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231204002780 MO Practitioner - Mental Health Counselor 3173971991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Arc of the OzarksGroup PAC ID 7810159332, 14 clinicians

Practice addresses (Care Compare)

1721 W Elfindale St
Springfield, MO 65807-1295
Phone (417) 605-7100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc of the Ozarks CurrentSince Feb 9, 2025 Accepting new patients
The Arc of the Ozarks Professional CurrentSince Feb 9, 2025 Accepting new patients

Locations

1721 W Elfindale St
Springfield, MO 65807
Phone (417) 605-7100

2864 S Nettleton Ave
Springfield, MO 65807
Phone (417) 605-7100

Organizations & group practices 2

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1881356707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 S NETTLETON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075970",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 S NETTLETON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075970",
            "telephone_number": "417-605-7100",
            "fax_number": "417-708-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "TROY",
        "middle_name": "D",
        "credential": "MED, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2021048302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.