JAMES CALVIN ODOM
NPI 1487421434
Counselor - Mental Health in Fort Wayne, IN

Active since December 11, 2023
6030 E STATE BLVD, FORT WAYNE, IN 46815(260) 245-6374 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About James Calvin Odom NPPES

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

JAMES CALVIN ODOM (NPI 1487421434) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1487421434
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAMES CALVIN ODOM
Location Address6030 E STATE BLVDFort Wayne, IN 46815-7639
Mailing Address6030 E State BlvdFort Wayne, IN 46815-7639 · (260) 245-6374
Sole ProprietorYes
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 10, 2023
NPI 1487421434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X
6030 E STATE BLVD, Fort Wayne, IN 46815

Other Providers at the Same Location NPPES 10

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

Case Manager/Care Coordinator
6030 E STATE BLVD
FORT WAYNE, IN 46815
Community/Behavioral Health
6030 E STATE BLVD
FORT WAYNE, IN 46815
Counselor (Mental Health)
6030 E STATE BLVD
FORT WAYNE, IN 46815
Community Health Worker
6030 E STATE BLVD
FORT WAYNE, IN 46815
Counselor
6030 E STATE BLVD
FORT WAYNE, IN 46815
Community Health Worker
6030 E STATE BLVD
FORT WAYNE, IN 46815
Counselor (Mental Health)
6030 E STATE BLVD
FORT WAYNE, IN 46815
Health and Wellness Coach
6030 E STATE BLVD
FORT WAYNE, IN 46815

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 James Odom's NPI number?

The NPI number for James Odom is 1487421434. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is James Odom located?

James Odom practices at 6030 E State Blvd, Fort Wayne, IN 46815. The listed phone number is (260) 245-6374.

What is James Odom's specialty?

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

When was this NPI record last updated?

The NPPES record for James Odom was last updated on December 11, 2023. 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.