NPIMap

Organization Active NPI

Odyssey Counseling LLC

  • Counselor
  • Albuquerque, NM
National Provider Identifier
1912129495
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0983 Issued in NM
Legal business name
ODYSSEY COUNSELING LLC
Practice address
8001 Mountain Road PL NE
Albuquerque, NM 87110-7808
Phone
(505) 315-7397
Fax
(505) 433-4565
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Ms. Mary F Baca, LPCCNPI 1386799278
Title
Owner/Ceo
Phone
(505) 315-7397

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 0983 NM Primary

Addresses

Primary practice location

8001 Mountain Road PL NE
Albuquerque, NM 87110-7808

Mailing address

PO Box 6601
Albuquerque, NM 87197-6601
Phone (505) 315-7397

Other names 1

  • Odyssey Counseling & Consultations Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

8001 Mountain Road Pl NE
Albuquerque, NM 87110
Phone (505) 315-7397

5827 4th St NW
Albuquerque, NM 87107

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1912129495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6601",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871976601",
            "telephone_number": "505-315-7397",
            "fax_number": "505-433-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 MOUNTAIN ROAD PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107808",
            "telephone_number": "505-315-7397",
            "fax_number": "505-433-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "BACA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "505-315-7397",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NM",
            "license": "0983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey Counseling & Consultations Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.