MRS. MARTHA ODEGARD (NPI# 1326423625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326423625 |
| Entity Type | Individual |
| Full Name | MRS. MARTHA ODEGARD |
| Credential | LSW, CAC II |
| Practice Address |
620 Kimbark St Longmont CO 80501-4911 |
| Practice Telephone | 7203402387 |
| Mailing Telephone | 7203402387 |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LSW.0009920169 | CO | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACB.0007926 | CO | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | LSW.0009920169 | CO | Behavioral Health & Social Service Providers |
| Street Address |
620 KIMBARK ST |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568791911 | Sample Services | Social Worker | 620 Kimbark St, Longmont, CO 80501-4911 | 2009-12-14 |
| 1275197915 | Anne Kimberly Travers | Social Worker | 620 Kimbark St, Longmont, CO 80501-4911 | 2019-04-29 |
| 1073006219 | Christina Kathryn Speake | Social Worker | 620 Kimbark St, Longmont, CO 80501-4911 | 2018-06-12 |
| 1548759020 | Richelle Faye Reed | Counselor | 620 Kimbark St, Longmont, CO 80501-4911 | 2018-05-09 |
| 1356830913 | Brianna Kurt-hurst | Counselor | 620 Kimbark St, Longmont, CO 80501-4911 | 2018-05-08 |
| 1649577453 | Sample Supports | Day Training, Developmentally Disabled Services | 620 Kimbark St, Longmont, CO 80501-4911 | 2011-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567421 | Michael Rodgers | Counselor | 3513 Camden Dr, Longmont, CO 80503-2156 | 2020-08-04 |
| 1043828676 | Sarah Amberg | Counselor | 356 1/2 Main St # 5, Longmont, CO 80501-5527 | 2020-07-20 |
| 1952935751 | Connections-adolescent and Family Counseling, LLC | Counselor | 500 9th Ave Ste 1, Longmont, CO 80501-4545 | 2020-03-02 |
| 1306495601 | Jen Sutton, Lpc, Lac, Inc. | Counselor | 1245 Francis St Ste 1, Longmont, CO 80501-3759 | 2019-09-09 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1336619899 | Gertie Breffle | Counselor | 7105 La Vista Pl Ste 150, Longmont, CO 80503-0805 | 2018-11-27 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1598112112 | Jimmy De Herrera | Counselor | 1129 Francis St, Longmont, CO 80501-3703 | 2016-05-24 |
| 1568831824 | Keith Carnahan | Counselor | 24 9th Ave, Longmont, CO 80501-4575 | 2015-09-16 |
| 1548650328 | Maxxwell West Myers | Counselor | 1624 Green Pl, Longmont, CO 80501-5828 | 2015-01-30 |
| Find all providers in LONGMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.