Pamela Y. Odom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63937 Issued in TX

Practice address

1790 N Lee Trevino Dr
Suite 601 a
El Paso, TX 79936-4545

Phone

(915) 778-4243

Fax

(915) 778-4244

NPI assigned

Mar 29, 2007

Last updated

Apr 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• El Paso Counseling Associates

  • Mental Health Counselor
  • El Paso, TX
  • NPI 1255604062
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1891814646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 N LEE TREVINO DR",
            "address_2": "SUITE 601 A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364545",
            "telephone_number": "915-778-4243",
            "fax_number": "915-778-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 N LEE TREVINO DR",
            "address_2": "SUITE 601 A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364545",
            "telephone_number": "915-778-4243",
            "fax_number": "915-778-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "PAMELA",
        "middle_name": "Y.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63937",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0068462",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15823881",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211916601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Octavio Licon, M.D. P.a.
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• Ocular Services of Texas, Inc. (Major Optical-East)
• Ocular Services of Texas, Inc. (Major Optical-West)
• Odin Emergency Physicians
• Odyssey Health Care
• Odyssey Healthcare Operating a LP (Gentiva)
• Aubrey Ofarrell
• Nora Ofei, MD
• Ruth Erlene Offutt, LCSW

• Professional Counselor in El Paso, TX
• Providers in El Paso, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.