ODYSSEY FAMILY COUNSELING CENTER CORPORATION
NPI 1689604605
Counselor - Mental Health in College Park, GA

Active since July 04, 2006CLIA 11D1094277 · Waiver
1919 JOHN WESLEY AVENUE, COLLEGE PARK, GA 30337(404) 762-9190(404) 762-9101 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2020, May 16, 2016 (2 updates tracked since 2016).

About Odyssey Family Counseling Center Corporation NPPES

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

ODYSSEY FAMILY COUNSELING CENTER CORPORATION (NPI 1689604605) is a healthcare organization registered as a mental health in College Park, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Charles Cain Releford, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689604605
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameODYSSEY FAMILY COUNSELING CENTER CORPORATION
Location Address1919 JOHN WESLEY AVENUECollege Park, GA 30337
Mailing Address1919 John Wesley AvenueCollege Park, GA 30337 · (404) 762-9190 · Fax (404) 761-9101
Fax(404) 762-9101
Organization SubpartNo
Authorized OfficialCharles Cain RelefordExecutive Director · (404) 762-9190
Enumeration DateJuly 4, 2006
Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1689604605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 060-013-D (GA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
1919 JOHN WESLEY AVENUE, College Park, GA 30337

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odyssey Family Counseling Center Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Odyssey Family Counseling Center Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Clinical Social Worker
NPI 1710356324
1919 JOHN WESLEY AVE
College Park, GA 30337
(404) 762-9190
✔ PECOSSame address
Mental Health Counselor
NPI 1972828176
1919 JOHN WESLEY AVE
Atlanta, GA 30337
(404) 762-9190
✔ PECOSSame address
Nurse Practitioner
NPI 1144674581
6572 RIVER PARK DR STE 101
Riverdale, GA 30274
(404) 514-3498
✔ PECOS6.1 mi
Clinical Social Worker
NPI 1063445823
1510 OAK GROVE RD STE 3
Decatur, GA 30033
(470) 835-3350
✔ PECOS✔ Accepts Medicare15 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1094277

Odyssey Family Counseling Center · College Park, GA
Active · expires Jan 14, 2027
CLIA Number11D1094277
Laboratory TypeOther
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorStephanie L. Barnhart
Laboratory Phone(404) 762-9190
Laboratory LocationOdyssey Family Counseling Center1919 John Wesley Avenue Attn Susan Stone Rn, College Park, GA 30337
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Odyssey Family Counseling Center Corporation's NPI number?

The NPI number for Odyssey Family Counseling Center Corporation is 1689604605. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Odyssey Family Counseling Center Corporation located?

Odyssey Family Counseling Center Corporation is located at 1919 John Wesley Avenue, College Park, GA 30337. The listed phone number is (404) 762-9190.

What is Odyssey Family Counseling Center Corporation's specialty?

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

Is Odyssey Family Counseling Center Corporation enrolled in Medicare?

Yes. Odyssey Family Counseling Center Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Odyssey Family Counseling Center Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Odyssey Family Counseling Center Corporation, in Clinical Social Worker, Mental Health Counselor and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Odyssey Family Counseling Center Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1094277) is associated with this NPI, valid through January 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Odyssey Family Counseling Center Corporation was last updated on September 14, 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.