Organization Active NPI

Odyssey Health Group, Inc

  • Community/Behavioral Health Agency
  • Charlotte, NC
National Provider Identifier
1952707309
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ODYSSEY HEALTH GROUP, INC
Practice address
525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone
(704) 331-3959
Fax
(800) 381-1472
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Ashley Nicole Cross, LCSW, LISWCP, LCAS-A
Title
Ceo
Phone
(980) 722-2270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Mailing address

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (704) 331-3959

National Provider Directory

National Provider Directory

Locations

331 E Main St
Rock Hill, SC 29730
Phone (704) 497-8594

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1952707309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST STE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020213",
            "telephone_number": "704-331-3959",
            "fax_number": "800-381-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST STE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020213",
            "telephone_number": "704-331-3959",
            "fax_number": "800-381-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "980-722-2270",
        "authorized_official_credential": "LCSW, LISWCP, LCAS-A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.