Individual provider Active NPI

Ciara Jean Odom, LPC, LAC, NCC, ACS

  • Professional Counselor
  • Dillon, CO
National Provider Identifier
1972993103
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0016112 Issued in CO
Practice address
124 Main St.
Suite #305
Dillon, CO 80435
Phone
(208) 339-8398
NPI assigned
Jan 26, 2015
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0016112 CO Primary
Mental Health Counselor 101YM0800X LPC.0016112 CO

Addresses

Primary practice location

124 Main St.
Suite #305
Dillon, CO 80435

Mailing address

PO Box 26032
Silverthorne, CO 80497-6032
Phone (208) 339-8398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250331000191 CO Practitioner - Mental Health Counselor 9537682729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4242 Delaware St
Denver, CO 80216-2618
Phone (303) 825-8113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0016112COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Council on Alcoholism and Drug Abuse CurrentSince Aug 22, 2025 Accepting new patients
McCoy Counseling LLC CurrentSince Feb 24, 2025 Accepting new patients
Mile High Council on Alcoholism and Drug Abuse CurrentSince Aug 22, 2025 Accepting new patients
McCoy Counseling LLC Professional CurrentSince Aug 3, 2025 Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients

Locations

10190 E Montview Blvd
Aurora, CO 80010
Phone (303) 318-4242

2178 Victor St
Aurora, CO 80045
Phone (303) 341-9160

4242 Delaware St
Denver, CO 80216
Phone (720) 382-5900

360 Peak One Dr
Ste 110D
Frisco, CO 80443
Phone (970) 485-6676

3460 S Federal Blvd
Sheridan, CO 80110
Phone (303) 761-0200

Organizations & group practices 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1972993103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26032",
            "city": "SILVERTHORNE",
            "state": "CO",
            "postal_code": "804976032",
            "telephone_number": "208-339-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST.",
            "address_2": "SUITE #305",
            "city": "DILLON",
            "state": "CO",
            "postal_code": "80435",
            "telephone_number": "208-339-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "CIARA",
        "middle_name": "JEAN",
        "credential": "LPC, LAC, NCC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0016112",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dillon, CO

Sources for this page

Verify at the official NPI Registry.