1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Counselor
  6. NPI Profile

AMY ODERMATT
NPI 1407173669
Counselor - Mental Health in Lakeland, FL

Active since April 28, 2010PECOS Enrolled
5121 S LAKELAND DR STE 4, LAKELAND, FL 33813(863) 606-5922 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amy Odermatt NPPES

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

AMY ODERMATT (NPI 1407173669) is an individual mental health provider in Lakeland, Florida and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1407173669
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMY ODERMATT
Location Address5121 S LAKELAND DR STE 4Lakeland, FL 33813-2623
Mailing Address5121 S Lakeland Dr Ste 4Lakeland, FL 33813-2623
Phone(863) 606-5922
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 28, 2010
Last NPPES UpdateMay 6, 2016
✔ NPI 1407173669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5121 S LAKELAND DR STE 4, Lakeland, FL 33813
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Odermatt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406338490
PECOS Enrollment IDI20260309000008
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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Odermatt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
187 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Other Providers at the Same Location NPPES

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

JEFFREY LYNN BROOKS LMHC
Counselor (Mental Health)
5121 S LAKELAND DR STE 4
LAKELAND, FL 33813
Polk County (863) 606-5922

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 Amy Odermatt's NPI number?

The NPI number for Amy Odermatt is 1407173669. It was assigned to this individual provider in the NPPES registry on April 28, 2010.

Where is Amy Odermatt located?

Amy Odermatt practices at 5121 S Lakeland Dr Ste 4, Lakeland, FL 33813. The listed phone number is (863) 606-5922.

What is Amy Odermatt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amy Odermatt enrolled in Medicare?

Yes. Amy Odermatt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Odermatt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Odermatt reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Amy Odermatt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Odermatt accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Amy Odermatt 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 Amy Odermatt was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.