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MS. CLAIRISSA M. O'DEA LAC
NPI 1710242532
Counselor - Mental Health in Phoenix, AZ

Active since July 09, 2012Opted out of Medicare · through Nov 14, 2026
300 W CLARENDON AVE STE 470, PHOENIX, AZ 85013(602) 730-4450(602) 391-2522 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Clairissa M. O'dea Lac NPPES

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

MS. CLAIRISSA M. O'DEA LAC (NPI 1710242532) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LAC-20665) and active in the NPI registry since July 2012. She has opted out of Medicare through November 14, 2026.

NPPES Registry Identity

NPI1710242532
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CLAIRISSA M. O'DEACredential: LAC
Location Address300 W CLARENDON AVE STE 470Phoenix, AZ 85013-3475
Mailing Address300 W Clarendon Ave Ste 470Phoenix, AZ 85013-3475 · (847) 863-4196
Phone(602) 730-4450
Fax(602) 391-2522
Sole ProprietorYes
Enumeration DateJuly 9, 2012
Last NPPES UpdateAugust 20, 2024
NPPES CertifiedAugust 20, 2024
✔ NPI 1710242532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in AZ · LAC-20665✔ Licensed in IL · 178.006898
300 W CLARENDON AVE STE 470, Phoenix, AZ 85013
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Clairissa M. O'dea Lac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2024 through November 14, 2026.

Opt-Out Effective DateNovember 14, 2024
Opt-Out In Effect ThroughNovember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

JEREMY B LESSER LAC
Counselor (Mental Health)
300 W CLARENDON AVE STE 470
PHOENIX, AZ 85013
Maricopa County (602) 345-1502
LINSEY ERIN LANCELLOTTI
Psychologist
300 W CLARENDON AVE STE 470
PHOENIX, AZ 85013
Maricopa County (602) 730-4450
CAMILIA MARTINEZ STOLTZ
Counselor (Mental Health)
300 W CLARENDON AVE STE 470
PHOENIX, AZ 85013
Maricopa County (602) 354-8906
SENTIENCE, PLLC
Psychologist (Counseling)
300 W CLARENDON AVE STE 470
PHOENIX, AZ 85013
Maricopa County (602) 730-4450
CAMERON MULLER MC
Counselor (Mental Health)
300 W CLARENDON AVE STE 470
PHOENIX, AZ 85013
Maricopa County (602) 730-4450
TIFFANY AVILA
Counselor (Mental Health)
300 W CLARENDON AVE STE 470
PHOENIX, AZ 85013
Maricopa County (602) 354-8906
DR. JANEEN ALICE DEMARTE PH.D.
Psychologist (Clinical)
300 W CLARENDON AVE STE 470
PHOENIX, AZ 85013
Maricopa County (602) 345-1502
PAMELA A CHRISTIANSON
Counselor (Mental Health)
300 W CLARENDON AVE STE 470
PHOENIX, AZ 85013
Maricopa County (602) 354-8906

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 Clairissa O'dea's NPI number?

The NPI number for Clairissa O'dea is 1710242532. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Clairissa O'dea located?

Clairissa O'dea practices at 300 W Clarendon Ave Ste 470, Phoenix, AZ 85013. The listed phone number is (602) 730-4450.

What is Clairissa O'dea's specialty?

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

Is Clairissa O'dea enrolled in Medicare?

No. Clairissa O'dea has opted out of Medicare through November 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Clairissa O'dea accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Clairissa O'dea 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 Clairissa O'dea was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.