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PATRICK RYAN ODOM LADC
NPI 1417570805
Counselor - Addiction (Substance Use Disorder) in Rochester, MN

Active since May 20, 2020
2360 N BROADWAY, ROCHESTER, MN 55906(507) 282-0142(507) 282-6261 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patrick Ryan Odom Ladc NPPES

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

PATRICK RYAN ODOM LADC (NPI 1417570805) is an individual addiction (substance use disorder) provider in Rochester, Minnesota, licensed in Minnesota (305643) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1417570805
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePATRICK RYAN ODOMCredential: LADC
Location Address2360 N BROADWAYRochester, MN 55906-4065
Mailing Address2360 N BroadwayRochester, MN 55906-4065 · (507) 282-0142 · Fax (507) 282-6261
Phone(507) 282-0142
Fax(507) 282-6261
Sole ProprietorNo
Enumeration DateMay 20, 2020
NPPES CertifiedMay 20, 2020
✔ NPI 1417570805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 305643
2360 N BROADWAY, Rochester, MN 55906
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Other Providers at the Same Location NPPES 11

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

JAMES PATRICK BENSON ADC-T
Counselor (Addiction (Substance Use Disorder))
2360 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 282-0142
CLAIRE ROSEMARK LADC
Counselor (Addiction (Substance Use Disorder))
2360 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 282-0142
METRO TREATMENT OF MINNESOTA LP
Clinic/Center (Methadone)
2360 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 282-0142
KRISTIN VELDHUISEN LADC
Counselor (Addiction (Substance Use Disorder))
2360 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 282-0142
HANAN MOHAMMED JAMALI
Counselor (Addiction (Substance Use Disorder))
2360 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 282-0142
TERESA D KOSSAKOWSKI PHARMD, RPH
Pharmacist
2360 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 282-0142
BHG XL, LLC
Clinic/Center (Methadone)
2360 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 282-0142
ADRIANNA LEE RACKOW LPN
Licensed Practical Nurse
2360 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 282-0142

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 Patrick Odom's NPI number?

The NPI number for Patrick Odom is 1417570805. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Patrick Odom located?

Patrick Odom practices at 2360 N Broadway, Rochester, MN 55906. The listed phone number is (507) 282-0142.

What is Patrick Odom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Patrick Odom was last updated on May 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.