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ODYSSEY HOUSE INC
NPI 1033143706
Clinic/Center - Rehabilitation, Substance Use Disorder in Salt Lake City, UT

Active since July 10, 2006CLIA Certified · 4 labs
340 E 100 S, SALT LAKE CITY, UT 84111(801) 322-3222(801) 322-2831 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2026, Apr 17, 2024, Apr 21, 2022 and 1 more (4 updates tracked since 2021).

About Odyssey House Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ODYSSEY HOUSE INC (NPI 1033143706) is a healthcare organization registered as a rehabilitation, substance use disorder in Salt Lake City, Utah and active in the NPI registry since July 2006. The organization holds 4 active CLIA laboratory certificates, maintains 14 additional practice locations, and lists Adam Cohen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033143706
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameODYSSEY HOUSE INC
Location Address340 E 100 SSalt Lake City, UT 84111-1702
Mailing Address117 W 400 SSalt Lake City, UT 84101-1916 · (801) 322-4257 · Fax (801) 322-2831
Phone(801) 322-3222
Fax(801) 322-2831
Organization SubpartNo
Authorized OfficialAdam CohenCeo · (801) 428-3449
Enumeration DateJuly 10, 2006
Last NPPES UpdateJanuary 13, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1033143706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in UT · 11273
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCounselor · SchoolTaxonomy 101YS0200X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License 163407-1205 (UT)
Also ListedResidential Treatment Facility, Emotionally Disturbed ChildrenTaxonomy 322D00000X
Also ListedPsychiatric Residential Treatment FacilityTaxonomy 323P00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
340 E 100 S, Salt Lake City, UT 84111
Open in Google Maps ↗

Secondary Practice Locations 14

Location 16150 S Redwood RdTaylorsville, UT 84123-5308 · Phone (801) 322-3222
Location 2350 E 2100 SSouth Salt Lake, UT 84115-2266 · Phone (801) 322-3222
Location 32411 S 1070 W Ste BWest Valley City, UT 84119-1570 · Phone (801) 322-3222
Location 442 S 500 ESalt Lake City, UT 84102-1002 · Phone (801) 322-3222
Location 5124 W 1400 SSalt Lake City, UT 84115-5200 · Phone (801) 322-3222
Location 6880 E 3375 SSalt Lake City, UT 84106-1536 · Phone (801) 322-3222 · Fax (801) 478-2686
Location 7344 E 100 SSalt Lake City, UT 84111-1700 · Phone (801) 322-3222
Location 8745 E 300 SSalt Lake City, UT 84102-2256 · Phone (801) 322-3222
Location 9645 S 1300 ESalt Lake City, UT 84102-3206 · Phone (801) 322-3222
Location 10607 E 200 SSalt Lake City, UT 84102-2110 · Phone (801) 322-3222
Location 113944 S 400 ESalt Lake City, UT 84107-1600 · Phone (801) 322-3222
Location 1268 S 600 ESalt Lake City, UT 84102-1007 · Phone (801) 322-3222
Location 1361 W 3900 SMurray, UT 84107-1431 · Phone (801) 322-3222
Location 148537 S Redwood Rd Ste A1West Jordan, UT 84088-4806 · Phone (801) 322-3222

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2326863

Odyssey House - Admissions & Harm Reduction · Salt Lake City, UT
Active · expires Jul 10, 2027
CLIA Number46D2326863
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorDean Mayer
Laboratory Phone(801) 322-3222
Laboratory LocationOdyssey House - Admissions & Harm Reduction344 E 100 S, Salt Lake City, UT 84111
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2326860

Odyssey House - Act · Salt Lake City, UT
Active · expires Jul 10, 2027
CLIA Number46D2326860
Laboratory TypePractitioner Other
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorDean Mayer
Laboratory Phone(801) 382-8441
Laboratory LocationOdyssey House - Act124 W 1400 S, Salt Lake City, UT 84115
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2203632

Odyssey House - Fact · West Valley City, UT
Active · expires Dec 3, 2026
CLIA Number46D2203632
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorDean Mayer
Laboratory Phone(801) 322-3222
Laboratory LocationOdyssey House - Fact2411 S 1075 W, Suite A, West Valley City, UT 84119
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 46D2017040

Odyssey House - Martindale Clinic · Salt Lake City, UT
Active · expires Dec 1, 2026
CLIA Number46D2017040
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorDean Mayer
Laboratory Phone(801) 634-1111
Laboratory LocationOdyssey House - Martindale Clinic743 East 300 South, Salt Lake City, UT 84102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONI R HANSEN
Social Worker (Clinical)
340 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
KATTIE EVOYNNE HATCHER
Case Manager/Care Coordinator
340 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
DAVID SONNEBORN
Case Manager/Care Coordinator
340 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
MS. RIKI GIFFORD-FERGUSON PA-C
Physician Assistant
340 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-3500
VARNEY AMIGO FOFANA
Case Manager/Care Coordinator
340 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
DEMETRIOUS LETHERO COOK
Case Manager/Care Coordinator
340 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-3222
HAYLEY L MCMILLAN
Counselor (School)
340 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-3486
CHAD RYAN REBO PA-C
Physician Assistant
340 E 100 S
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Odyssey House Inc's NPI number?

The NPI number for Odyssey House Inc is 1033143706. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Odyssey House Inc located?

Odyssey House Inc is located at 340 E 100 S, Salt Lake City, UT 84111. The listed phone number is (801) 322-3222.

What is Odyssey House Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Odyssey House Inc hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Odyssey House Inc accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Odyssey House Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Odyssey House Inc was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.