Robin Lynn O'Dell, AMFT/SUD-C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

8585303-6006 Issued in UT

Practice address

12608 S 125 W Ste E
Draper, UT 84020-8437

Phone

(801) 810-1119

Fax

(801) 203-9216

NPI assigned

May 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Care One Partners LLC

  • Multi-Specialty Clinic/Center
  • Draper, UT
  • NPI 1932618873
  NPD (past)
• Deer Hollow Outpatient Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Draper, UT
  • NPI 1578917787
  NPD (past)

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

{
    "created_epoch": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1891284741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12608 S 125 W STE E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208437",
            "telephone_number": "801-810-1119",
            "fax_number": "801-203-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12608 S 125 W STE E",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840208437",
            "telephone_number": "801-810-1119",
            "fax_number": "801-203-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "credential": "AMFT/SUD-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-07",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "8585303-3904",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "8585303-6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ntambwe
• Charles B Numbers, MS, PT, DPT
• Robert Spencer Nunley, PHARMD
• Brooke O'Brien, FNP-C
• Caitlin M O'Brien, DPT
• Austin Oborn, PHARMD
• Occupational Health Centers of the Southwest, P.a. (Ut)
• Kathleen Odell, DDS, MSD
• Claire Odle
• Stephanie Ogden

• Addiction (Substance Use Disorder) Counselor in Draper, UT
• Providers in Draper, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.