KRISTY ODOM
NPI 1538600408
Counselor - Mental Health in Jonesboro, GA

Active since March 13, 2017
124 S MAIN ST, SUITE 2C, JONESBORO, GA 30236(678) 765-9286 Get Directions Write a Review

NPPES record last updated: April 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2017, Mar 13, 2017 (2 updates tracked since 2017).

About Kristy Odom NPPES

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

KRISTY ODOM (NPI 1538600408) is an individual mental health provider in Jonesboro, Georgia, licensed in Georgia (LPC009041) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1538600408
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTY ODOM
Location Address124 S MAIN ST, SUITE 2CJonesboro, GA 30236-3599
Mailing Address124 S Main St, Suite 2cJonesboro, GA 30236-3599 · (678) 765-9286
Sole ProprietorYes
Enumeration DateMarch 13, 2017
Last NPPES UpdateApril 22, 20172 updates tracked since enumeration
NPI 1538600408 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
License Licensed in GA · LPC009041
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC009041 (GA)
124 S MAIN ST, Jonesboro, GA 30236

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
124 S MAIN ST
JONESBORO, GA 30236
Case Manager/Care Coordinator
124 S MAIN ST
JONESBORO, GA 30236
Counselor (Mental Health)
124 S MAIN ST, SUITE 2A
JONESBORO, GA 30236
Massage Therapist
124 S MAIN ST
JONESBORO, GA 30236
Counselor (Professional)
124 S MAIN ST, SUITE 2N
JONESBORO, GA 30236
Preferred Provider Organization
124 S MAIN ST, SUITE 2A
JONESBORO, GA 30236
Community/Behavioral Health
124 S MAIN ST, SUITE 2J
JONESBORO, GA 30236

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 Kristy Odom's NPI number?

The NPI number for Kristy Odom is 1538600408. It was assigned to this individual provider in the NPPES registry on March 13, 2017.

Where is Kristy Odom located?

Kristy Odom practices at 124 S Main St Suite 2C, Jonesboro, GA 30236. The listed phone number is (678) 765-9286.

What is Kristy 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 Kristy Odom was last updated on April 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.