ODYSSEY HOUSE (NPI# 1801162995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801162995 |
| Entity Type | Organization |
| Organization Name | ODYSSEY HOUSE |
| Practice Address |
350 E 2100 S Salt Lake City UT 84115-2266 |
| Practice Telephone | 8013221185 |
| Practice Fax Number | 8013224002 |
| Mailing Telephone | 8013221185 |
| Mailing Fax Number | 8013224002 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | EMILY TILLETT (DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 8014283487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
11881 | UT | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
11881 | UT | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
11881 | UT | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326358599 | Odyssey House | Substance Abuse Rehabilitation Facility | 340 East 100 South, Odyssey House, Salt Lake City, UT 84111 | 2010-10-20 |
| 1265871644 | Odyssey House | Clinic/Center | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2013-06-19 |
| 1194007724 | Odyssey House | Substance Abuse Rehabilitation Facility | 344 E 100 S, Ste 301, Salt Lake City, UT 84111-1700 | 2011-09-09 |
| 1558586214 | Odyssey House | Community Based Residential Treatment Facility, Mental Illness | 995 Helling Way, Nevada City, CA 95959-8619 | 2007-04-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ODYSSEY HOUSE | 120 Wall St Ste 1700, New York, NY 10005-3904 |
| System for Award Management (SAM) Entities | ODYSSEY HOUSE LOUISIANA, INC. | 1125 N Tonti St, New Orleans, LA 70119-3549 |
| System for Award Management (SAM) Entities | ODYSSEY HOUSE, INC. (UTAH) | 344 E 100 S Ste 301, Salt Lake City, UT 84111-1727 |
| Street Address |
350 E 2100 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629388202 | Theresa Rose Oconnor | Counselor | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2010-10-15 |
| 1790307668 | Brenda Colledge | Case Manager/Care Coordinator | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2020-05-13 |
| 1447753371 | Victoria Elizabeth Hayes | Case Manager/Care Coordinator | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2018-03-16 |
| 1336665330 | Rachel Ann Carter | Social Worker | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2017-08-21 |
| 1992151641 | Elizabeth Coates | Student in an Organized Health Care Education/Training Program | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2016-05-12 |
| 1700248341 | Mccall Peterson | Student in an Organized Health Care Education/Training Program | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2016-03-23 |
| 1871958686 | Jenny Ann Dunn | Student in an Organized Health Care Education/Training Program | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2015-12-21 |
| 1649645896 | Karson Applin | Student in an Organized Health Care Education/Training Program | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2015-12-13 |
| 1013391366 | Kristina Oakley | Student in an Organized Health Care Education/Training Program | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2015-07-16 |
| 1043698293 | Jennifer Franco | Counselor | 350 E 2100 S, Salt Lake City, UT 84115-2266 | 2015-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666870 | One Voice Recovery | Clinic/Center | 1400 S 1100 E, Salt Lake City, UT 84105-2435 | 2019-12-12 |
| 1316392897 | Nuway Recovery, LLC | Clinic/Center | 4925 S 900 E, Salt Lake City, UT 84117-5784 | 2016-05-03 |
| 1578803748 | Recovery Ways, LLC | Clinic/Center | 1174 East 2760 South, Suite #10, Salt Lake City, UT 84106 | 2013-02-25 |
| 1942502638 | Tranquility Place of Utah LLC | Clinic/Center | 160 E 800 S Ste B, Salt Lake City, UT 84111-3827 | 2010-12-01 |
| 1003997701 | Assessment, Counseling & Educational Services | Clinic/Center | 3808 S West Temple, Sutie 150, Salt Lake City, UT 84115-4446 | 2006-10-18 |
| 1033143706 | Odyssey House Inc. | Clinic/Center | 340 E 100 S, Salt Lake City, UT 84111-1702 | 2006-07-10 |
| 1477189900 | Red Willow Iop, Pllc | Clinic/Center | 1425 S 700 E Ste 102, Salt Lake City, UT 84105-2125 | 2020-03-16 |
| 1265871644 | Odyssey House | Clinic/Center | 344 E 100 S, Salt Lake City, UT 84111-1700 | 2013-06-19 |
| 1639492036 | Michelle Moyes | Clinic/Center | 2001 S State St, S2300, Salt Lake City, UT 84190-0001 | 2010-03-12 |
| 1932422474 | Debbie L Scovill | Clinic/Center | 2001 S State St Ste S2300, Salt Lake City, UT 84190-2250 | 2010-03-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
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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.