Individual provider Active NPI

Rebecca Odell

  • Mental Health Counselor
  • Pinehurst, NC
National Provider Identifier
1922389444
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10667 Issued in NC
Practice address
45 Aviemore Dr
Pinehurst, NC 28374-9797
Phone
(910) 235-3139
NPI assigned
Aug 30, 2011
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10667 NC Primary

Addresses

Primary practice location

45 Aviemore Dr
Pinehurst, NC 28374-9797

Mailing address

115 Shepherds Meadow Way Unit 305
Mooresville, NC 28115-0396
Phone (910) 465-8332

Other identifiers 1

IdentifierTypeStateIssuer
30610026MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240318003224 NC Practitioner - Mental Health Counselor 8527405208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

16740 Davidson Concord Rd
Suite 200
Davidson, NC 28036-8746
Phone (704) 801-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandhills Behavioral Care, PLLC CurrentSince Mar 4, 2024 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Sandhills Behavioral Care, PLLC CurrentSince Mar 4, 2024 Accepting new patients
Carolinas Medical Center CurrentSince May 17, 2025 Accepting new patients
Carolinas Medical Center CurrentSince May 17, 2025 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

16740 Davidson Concord Rd
Ste 200
Davidson, NC 28036
Phone (704) 444-5881

120 Braemar Ct
Pinehurst, NC 28374
Phone (910) 295-5567

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

45 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 235-3347

523 Rockingham Rd
Rockingham, NC 28379
Phone (828) 360-4600

Organizations & group practices 8

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1922389444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SHEPHERDS MEADOW WAY UNIT 305",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281150396",
            "telephone_number": "910-465-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-235-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODELL",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.