Organization Active NPI

Odyssey Counseling

  • Clinical Social Worker
  • Nashville, TN
National Provider Identifier
1932336732
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3120 Issued in TN
Legal business name
ODYSSEY COUNSELING
Practice address
638 W Iris Dr
Nashville, TN 37204-3191
Phone
(615) 975-7084
Fax
(615) 292-4459
NPI assigned
Jun 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Rebecca B Lee, LCSWNPI 1831131044
Title
Owner
Phone
(615) 975-7084

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3120 TN Primary

Addresses

Primary practice location

638 W Iris Dr
Nashville, TN 37204-3191

Mailing address

638 W Iris Dr
Nashville, TN 37204-3191
Phone (615) 975-7084

Other identifiers 5

IdentifierTypeStateIssuer
114956876OtherTNUNITED BEHAVIORAL HEALTH
187217000OtherTNMAGELLAN BEHAVIORAL HEALTH
3695729MedicaidTN
976020OtherTNUNITED HEALTH CARE
11509576OtherTNCAQH

National Provider Directory

National Provider Directory

Locations

638 W Iris Dr
Nashville, TN 37204
Phone (615) 292-4357

Practitioners & affiliated clinicians

Practitioners 3

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": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1932336732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 W IRIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043191",
            "telephone_number": "615-975-7084",
            "fax_number": "615-292-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 W IRIS DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043191",
            "telephone_number": "615-975-7084",
            "fax_number": "615-292-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-975-7084",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "3120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "114956876",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "187217000",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3695729",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "976020",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11509576",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.