ODYSSEY MENTAL HEALTH CARE LLC
NPI 1104592617
Nurse Practitioner - Psychiatric/Mental Health in Carmel, IN

Active since August 17, 2021
3203 DOGWOOD LN, CARMEL, IN 46032(317) 827-2987(317) 219-0879 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 7, 2024, Aug 17, 2021 (2 updates tracked since 2021).

About Odyssey Mental Health Care Llc NPPES

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

ODYSSEY MENTAL HEALTH CARE LLC (NPI 1104592617) is a healthcare organization registered as a psychiatric/mental health in Carmel, Indiana and active in the NPI registry since August 2021. The organization lists Nicole Davis, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1104592617
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameODYSSEY MENTAL HEALTH CARE LLC
Location Address3203 DOGWOOD LNCarmel, IN 46032-9629
Mailing AddressPo Box 523882, C/o The Mailbox #10649Miami, FL 33152-9265 · (317) 827-2987 · Fax (317) 219-0879
Fax(317) 219-0879
Organization SubpartNo
Authorized OfficialNicole DavisCeo/owner · (317) 827-2987
Enumeration DateAugust 17, 2021
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1104592617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3203 DOGWOOD LN, Carmel, IN 46032

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

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 Mental Health Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Odyssey Mental Health Care LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Nurse Practitioner
NPI 1992524003
3203 DOGWOOD LN
Carmel, IN 46032
(317) 498-1171
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497571251
3203 DOGWOOD LN
Carmel, IN 46032
(317) 498-1171
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932947991
3203 DOGWOOD LN
Carmel, IN 46032
(317) 827-2987
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1457555831
9001 WESLEYAN RD SUITE 100
Indianapolis, IN 46268
(317) 497-5530
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1881481844
2001 W 86TH ST
Indianapolis, IN 46260
(832) 250-4016
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1083468219
1435 AMBERWOODS CT
Indianapolis, IN 46239
(317) 332-2462
✔ PECOS17 mi
Nurse Practitioner
NPI 1851076939
1051 SOUTHFIELD DR
Plainfield, IN 46168
(844) 991-9900
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1235908187
203 W 1ST ST
Bloomington, IN 47403
(812) 668-1946
✔ PECOS✔ Accepts Medicare56 mi
Nurse Practitioner
NPI 1720692494
200 N VINEYARD BLVD STE A325-439
Honolulu, HI 96817
(808) 646-3782
✔ PECOS✔ Accepts Medicare4,340 mi

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

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 Mental Health Care LLC's NPI number?

The NPI number for Odyssey Mental Health Care LLC is 1104592617. It was assigned to this organization in the NPPES registry on August 17, 2021.

Where is Odyssey Mental Health Care LLC located?

Odyssey Mental Health Care LLC is located at 3203 Dogwood Ln, Carmel, IN 46032. The listed phone number is (317) 827-2987.

What is Odyssey Mental Health Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Odyssey Mental Health Care LLC enrolled in Medicare?

Yes. Odyssey Mental Health Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Odyssey Mental Health Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Odyssey Mental Health Care LLC. 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 (8) and Family Practice (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Odyssey Mental Health Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Odyssey Mental Health Care LLC 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 Mental Health Care LLC was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.