Lesli Odum

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Practice address

6396 Royal Tern St
Orlando, FL 32810-6012

Phone

(407) 801-9628

NPI assigned

Sep 18, 2014

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Full Circle Florida Inc.

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1386154474
  NPD (past) Authorized official
• Your Priority, LLC.

  • Developmental Disabilities Clinic/Center
  • Orlando, FL
  • NPI 1043774078

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1982006268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MONTGOMERY RD UNIT 279",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147420",
            "telephone_number": "407-801-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6396 ROYAL TERN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106012",
            "telephone_number": "407-801-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUM",
        "first_name": "LESLI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2021-11-02",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngozi Odoh, PHD, APRN,GNP,ANP-BC
• Catherine Cecelia Odom
• Makisha Odom, CPLD, CBE
• Daniel Miguya Odongo, PHARMD
• Jessica Odum, DO
• Breaunna Elysa Odume, BCBA
• Tolulope A Oduyejo-Williams, ARNP
• Odyssey Healthcare of Marion County, LLC
• Douglas Andrew Oehrlein
• Justine Oertel, NP

• Developmental Disabilities Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.