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ODETTA PERNELL CPSS
NPI 1346635000
Peer Specialist in Detroit, MI

Active since March 31, 2015
10 PETERBORO ST, DETROIT, MI 48201(313) 831-3160(313) 831-2604 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Odetta Pernell Cpss NPPES

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

ODETTA PERNELL CPSS (NPI 1346635000) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1346635000
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameODETTA PERNELLCredential: CPSS
Location Address10 PETERBORO STDetroit, MI 48201-2722
Mailing Address10 Peterboro StDetroit, MI 48201-2722 · (313) 831-3160 · Fax (313) 831-2604
Phone(313) 831-3160
Fax(313) 831-2604
Sole ProprietorYes
Enumeration DateMarch 31, 2015
✔ NPI 1346635000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
10 PETERBORO ST, Detroit, MI 48201
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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.

MR. AARON LEWIS VARDIMAN LLMSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MS. TARA MARIE DUPUIS LMSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 833-6335
KENNETH LADON WILLIAMS RSST
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MRS. MARY CATHERINE SCANLON-WILLIAMS LMSW, ACSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
DR. MORGAN JANAY PELL PSYD
Psychologist (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MR. LARRY WILLIS COLSTON LMSW,ACSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MRS. BARBARA ANN DAY LBSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160
MR. MICHAEL EUGENE JOHNSON LCSW
Social Worker (Clinical)
10 PETERBORO ST
DETROIT, MI 48201
Wayne County (313) 831-3160

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 Odetta Pernell's NPI number?

The NPI number for Odetta Pernell is 1346635000. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Odetta Pernell located?

Odetta Pernell practices at 10 Peterboro St, Detroit, MI 48201. The listed phone number is (313) 831-3160.

What is Odetta Pernell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Odetta Pernell was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.