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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 · 3 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: November 08, 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 3 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 1607 E 200 SSalt Lake City, UT 84102-2110 · Phone (801) 322-3222
Location 23944 S 400 ESalt Lake City, UT 84107-1600 · Phone (801) 322-3222
Location 368 S 600 ESalt Lake City, UT 84102-1007 · Phone (801) 322-3222
Location 4645 S 1300 ESalt Lake City, UT 84102-3206 · Phone (801) 322-3222
Location 561 W 3900 SMurray, UT 84107-1431 · Phone (801) 322-3222
Location 6745 E 300 SSalt Lake City, UT 84102-2256 · Phone (801) 322-3222
Location 7350 E 2100 SSouth Salt Lake, UT 84115-2266 · Phone (801) 322-3222
Location 8344 E 100 SSalt Lake City, UT 84111-1700 · Phone (801) 322-3222
Location 96150 S Redwood RdTaylorsville, UT 84123-5308 · Phone (801) 322-3222
Location 108537 S Redwood Rd Ste A1West Jordan, UT 84088-4806 · Phone (801) 322-3222
Location 11880 E 3375 SSalt Lake City, UT 84106-1536 · Phone (801) 322-3222 · Fax (801) 478-2686
Location 12124 W 1400 SSalt Lake City, UT 84115-5200 · Phone (801) 322-3222
Location 132411 S 1070 W Ste BWest Valley City, UT 84119-1570 · Phone (801) 322-3222
Location 1442 S 500 ESalt Lake City, UT 84102-1002 · 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, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odyssey House Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Odyssey House Inc, which bills Medicare for the services they deliver. Of these, 13 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Nurse Practitioner10
Clinical Social Worker3
Family Practice1
Hospitalist1
Psychiatry1

Clinicians, nearest first (16)

Dean Mayer, M.D.
Hospitalist
NPI 1316915432
5121 S COTTONWOOD ST
Murray, UT 84107
(801) 408-5060
✔ PECOS✔ Accepts Medicare1.8 mi
Kristina Muck, LCSW
Clinical Social Worker
NPI 1225565930
6150 S REDWOOD RD
Taylorsville, UT 84123
(801) 342-2283
✔ PECOS3.1 mi
Melissa Radcliffe, APNP
Nurse Practitioner
NPI 1992356240
3780 S WEST TEMPLE STE 200
South Salt Lake, UT 84115
(801) 970-4205
✔ PECOS3.9 mi
Armando Slack, APRN
Nurse Practitioner
NPI 1659572949
3780 S WEST TEMPLE STE 201
South Salt Lake, UT 84115
(385) 444-5800
✔ PECOS✔ Accepts Medicare3.9 mi
Bozena Montes, AGNP, ACNP
Nurse Practitioner
NPI 1558778902
3802 S 700 E
Salt Lake City, UT 84106
(801) 264-6000
✔ PECOS✔ Accepts Medicare4.9 mi
Windi Woods, PMHNP
Nurse Practitioner
NPI 1265103790
1875 SOUTH REDWOOD ROAD
Salt Lake City, UT 84104
(801) 355-2846
✔ PECOS7.1 mi
Lauren Ogitani, NP
Nurse Practitioner
NPI 1538989876
117 W 400 S
Salt Lake City, UT 84101
(801) 428-4257
✔ PECOS✔ Accepts Medicare8.2 mi
Siosi Fonua, APRN
Nurse Practitioner
NPI 1750789624
34 S 500 E STE 202
Salt Lake City, UT 84102
(801) 582-2011
✔ PECOS8.4 mi
Evelyn Rosier, LCSW
Clinical Social Worker
NPI 1710464474
344 E 100 S
Salt Lake City, UT 84111
(801) 322-3222
✔ PECOS9.1 mi
Gon Lam, NP
Nurse Practitioner
NPI 1891179339
8 TH AVENUE & C ST
Slc, UT 84143
(801) 408-1100
✔ PECOS✔ Accepts Medicare9.6 mi
Kate Coy, LCSW
Clinical Social Worker
NPI 1407174915
350 E. 2100 S.
Salt Lake City, UT 84115
(801) 428-3447
✔ PECOS9.8 mi
Jessica Arbogast, FNP
Nurse Practitioner
NPI 1154721108
315 N VIRGINIA ST
Salt Lake City, UT 84103
(801) 946-2821
✔ PECOS✔ Accepts Medicare9.8 mi
Kamile Weischedel, MD
Psychiatry
NPI 1225327927
324 E 10TH AVE STE 178
Salt Lake City, UT 84103
(801) 408-8502
✔ PECOS✔ Accepts Medicare10.0 mi
Paula Cook, M.D.
Family Practice
NPI 1922209386
382 W CARE CAMPUS DR
Moab, UT 84532
(435) 719-3970
✔ PECOS189 mi
Alexandra Gebhardt, FNP-C
Nurse Practitioner
NPI 1023746641
5 W MENDENHALL ST STE 202
Bozeman, MT 59715
(406) 729-4225
✔ PECOS351 mi
Laura Kannaian, FNP-BC
Nurse Practitioner
NPI 1235655903
13085 TEGLER DR
Noblesville, IN 46060
(317) 770-7089
✔ PECOS1,366 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

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 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.

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.

Is Odyssey House Inc enrolled in Medicare?

Yes. Odyssey House Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Odyssey House Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Odyssey House Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Clinical Social Worker (3) and Family Practice (1). Of these, 13 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Odyssey House Inc hold CLIA laboratory certificates?

Yes. 3 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, 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 9 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.