John Odden, REVEREND

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

2760 San Joaquin Hills Rd
Corona del Mar, CA 92625-1134

Phone

(949) 891-2151

NPI assigned

Dec 28, 2012

Last updated

Mar 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1942546668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 SAN JOAQUIN HILLS RD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251134",
            "telephone_number": "949-891-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 SAN JOAQUIN HILLS RD",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251134",
            "telephone_number": "949-891-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODDEN",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "REVEREND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-28",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pastoral Counselor in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Pastoral Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.