MRS. ELIZABETH ANN ODOM (NPI# 1669773636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669773636 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH ANN ODOM |
| Credential | LPCC |
| Practice Address |
213 E 2nd St Fairmont MN 56031-2814 |
| Practice Telephone | 5072384757 |
| Practice Fax Number | 5072381574 |
| Mailing Telephone | 5072384757 |
| Mailing Fax Number | 5072381574 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC00219 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295297158 | Elizabeth Kirby Odom | Student in an Organized Health Care Education/Training Program | 1184 5th Ave Fl 8, New York, NY 10029-6503 | 2019-04-01 |
| 1548767882 | Elizabeth Hyde Odom | Counselor | 4388 Katella Ave, Los Alamitos, CA 90720 | 2018-04-12 |
| 1831693480 | Elizabeth Odom | Physical Therapy Assistant | 1245 Church Rd, Wyncote, PA 19095-1800 | 2018-03-20 |
| 1780970566 | Elizabeth Burkhart Odom | Surgery | 660 S Euclid Ave, Box 8109, Saint Louis, MO 63110-1010 | 2011-06-21 |
| 1700190832 | Elizabeth Boyd Odom | Nutritionist | 19 North Dobbs Street, Halifax, NC 27839-0010 | 2010-07-30 |
| Street Address |
213 E 2ND ST |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-2814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216483 | Richard Odom | Counselor | 213 E 2nd St, Fairmont, MN 56031-2814 | 2019-10-13 |
| 1578054144 | New Directions Healing Center LLC | Clinic/Center | 213 E 2nd St, Fairmont, MN 56031-2814 | 2018-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295368421 | Amanda Doris Maddy | Counselor | 177 Middletown Rd Ste 4, Fairmont, WV 26554-8254 | 2020-02-17 |
| 1376025718 | Jason Batten | Counselor | 621 Maryland Ave, Fairmont, WV 26554 | 2018-09-02 |
| 1477906154 | Rebecca Hayes-merrill | Counselor | 212 Adams St., 3rd Floor, Fairmont, WV 26554 | 2016-07-19 |
| 1619337565 | Peter Ray Cole | Counselor | 701 Coleman Ave, Fairmont, WV 26554-2514 | 2016-03-03 |
| 1851717656 | Angela Mcmillian | Counselor | 115a Mcmillian Drive, Fairmont, NC 28340-8227 | 2014-03-17 |
| 1760735526 | Thyra Jolene Currie | Counselor | 510 Cottage St, Fairmont, NC 28340-2206 | 2012-10-17 |
| 1518044379 | Cheri Timko | Counselor | 14 E. Fairmont Road, Suite A, Fairmont, WV 26554 | 2006-11-01 |
| 1568928877 | Appalachian Life Enrichment Counseling Center LLC | Counselor | 225 Fairmont Ave, Fairmont, WV 26554-2710 | 2019-02-12 |
| 1093158701 | Cindy Jo Wanamaker | Counselor | 448 Leonard Ave, Fairmont, WV 26554-3843 | 2013-04-11 |
| 1003110198 | Judith Ann Black | Counselor | 225 Fairmont Ave, Fairmont, WV 26554-2710 | 2011-01-04 |
| Find all providers in FAIRMONT | ||||
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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.