SHIVONNE A ODOM
Counselor

Address: 306 Atlantic St Se, #3, Washington, DC 20032-3098

SHIVONNE A ODOM (NPI# 1013206135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013206135
Entity Type Individual
Full Name MISS SHIVONNE A ODOM
Gender Female
Credential LCPC
Practice Address 306 Atlantic St Se
#3
Washington
DC 20032-3098
Practice Telephone 5082726348
Mailing Address 306 Atlantic St Se
#3
Washington
DC 20032-3098
Mailing Telephone 5082726348
Enumeration Date 2011-03-29
Last Update Date 2016-11-03
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor PRC14590 DC Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LC3868 MD Behavioral Health & Social Service Providers

Office Location

Street Address 306 ATLANTIC ST SE
#3
City WASHINGTON
State DC
Zip Code 20032-3098

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1538715412 Omonike Grace Adeosun Home Health Aide 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 2019-08-15
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1215506225 Tasha Milstead Counselor 900 Varney St Se Apt 116, Washington, DC 20032-4314 2021-06-23
1093382756 Cornerstone Kazen Co. Counselor 1835 7th St Nw Ste 126, Washington, DC 20001-3107 2021-06-09
1417532680 Crishone C Johnson Counselor 5448 Bass Pl Se, Washington, DC 20019-6370 2021-03-10
1881289890 Mirta Lisso Carruthers Counselor 6th and Bryant Streets, Washington, DC 20059-0001 2021-03-02
1073105359 Victoria Ashley Altenord Counselor 2501 Good Hope Rd Se, Washington, DC 20020-3011 2021-02-08
1003406315 Lili Johnson Counselor 441 21st St Ne, Washington, DC 20002-4705 2021-01-20
1760084164 Keyona M Fowler Counselor 116 T St Ne Apt 437, Washington, DC 20002-5132 2020-11-10
1952909400 Garrison Dugger Counselor 2502 18th St Se, Washington, DC 20020-3214 2020-10-15
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Competitor

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City WASHINGTON
Zip Code 20032

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Dataset Information

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.