Cody Lee Odom

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.174537 Issued in OH

Practice address

500 E Court St
Sidney, OH 45365-3800

Phone

(419) 584-5123

NPI assigned

Feb 8, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/recoveryandwellnessohio/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Darke County Mental Health Clinic, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, OH
  • NPI 1811920697
  NPD (past)
• Darke County Recovery Services

  • Community/Behavioral Health Agency
  • Greenville, OH
  • NPI 1508287764
  NPD (past)
• Momentum Counseling and Consultation, LLC

  • Clinical Social Worker
  • Celina, OH
  • NPI 1225582752
  NPD (past)

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1972002608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E COURT ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E COURT ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453653800",
            "telephone_number": "419-584-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "CODY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.174537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nutrition Services of Shelby County
• Tanya O'Daniel, LISW
• Lynsie Ann O'Dell, MSN, RN, CPNP-PC
• Adrienne Marie O'Neill, D.P.M.
• Remon Obeid, M.D.
• Ohio CVS Stores LLC
• Ohio Living Communities
• Ohio Living Communities
• Ohio Living Holdings
• Ohio Therapeutic Health Services, Inc

• Addiction (Substance Use Disorder) Counselor in Sidney, OH
• Providers in Sidney, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.