Active NPI
Jona Odim, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- McKinney, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2024059804
- Practice address
- 1400 N Coit Rd Ste 202
McKinney, TX 75071-6656 - Phone
- (469) 949-4941
- Fax
- (469) 942-9252
- NPI assigned
- Sep 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024059804 | TX | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 84777 | NM |
Addresses
Primary practice location
1400 N Coit Rd Ste 202
McKinney, TX 75071-6656
Mailing address
1400 N Coit Rd Ste 202
McKinney, TX 75071-6656
Phone (469) 949-4941
Other practice location 1
6300 Riverside Plaza Ln NW Ste 100
Albuquerque, NM 87120-1908
Phone (505) 456-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 84777 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2024059804 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dream Revival Psychiatry | Single Specialty | Current | Accepting new patients |
Locations
1400 N Coit Rd
Ste 202
McKinney, TX 75071
Phone (469) 949-4941
1201 S Sherman St
Ste 213
Richardson, TX 75081
Phone (214) 935-8303
1318 E Belt Line Rd
Richardson, TX 75081
Phone (903) 776-4814
Interoperability endpoints
- jona.odim.1@24846.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- McKinney, TX
- NPI 1679377618
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1982422952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N COIT RD STE 202",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716656",
"telephone_number": "469-949-4941",
"fax_number": "469-942-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N COIT RD STE 202",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750716656",
"telephone_number": "469-949-4941",
"fax_number": "469-942-9252"
}
],
"practiceLocations": [
{
"address_1": "6300 Riverside Plaza Ln NW Ste 100",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871201908",
"country_code": "US",
"telephone_number": "505-456-0400",
"fax_number": "833-913-2523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODIM",
"first_name": "JONA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-30",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "2024059804",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "84777",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.