RONNIE JADE ODOM LPC
NPI 1174329122
Counselor - Professional in Deweyville, TX

Active since February 20, 2025PECOS Enrolled
PO BOX 1227, DEWEYVILLE, TX 77614(409) 920-3590 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ronnie Jade Odom Lpc NPPES

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

RONNIE JADE ODOM LPC (NPI 1174329122) is an individual professional provider in Deweyville, Texas, licensed in Texas (91238) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174329122
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRONNIE JADE ODOMCredential: LPC
Location AddressPO BOX 1227Deweyville, TX 77614
Mailing AddressPo Box 1227Deweyville, TX 77614 · (409) 920-3590
Sole ProprietorNo
Enumeration DateFebruary 20, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1174329122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 91238
PO BOX 1227, Deweyville, TX 77614

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronnie Jade Odom Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Ronnie Odom's NPI number?

The NPI number for Ronnie Odom is 1174329122. It was assigned to this individual provider in the NPPES registry on February 20, 2025.

Where is Ronnie Odom located?

Ronnie Odom practices at PO Box 1227, Deweyville, TX 77614. The listed phone number is (409) 920-3590.

What is Ronnie Odom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ronnie Odom enrolled in Medicare?

Yes. Ronnie Odom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ronnie Odom was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.