JOHN ODOR
NPI 1710841044
Counselor - Mental Health in Philadelphia, PA

Active since December 11, 2025PECOS Enrolled
1401 S 31ST ST, PHILADELPHIA, PA 19146(215) 755-7700 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About John Odor NPPES

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

JOHN ODOR (NPI 1710841044) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC017884) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1710841044
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN ODOR
Location Address1401 S 31ST STPhiladelphia, PA 19146-3506
Mailing Address4030 K StPhiladelphia, PA 19124-5219 · (215) 475-7530
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 11, 2025
NPPES CertifiedDecember 11, 2025
NPI 1710841044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in PA · PC017884
1401 S 31ST ST, Philadelphia, PA 19146

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Odor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951888379
PECOS Enrollment IDI20260116000074
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
1401 S 31ST ST
PHILADELPHIA, PA 19146
Dental Hygienist
1401 S 31ST ST
PHILADELPHIA, PA 19146
Behavior Technician
1401 S 31ST ST
PHILADELPHIA, PA 19146
Obstetrics & Gynecology
1401 S 31ST ST
PHILADELPHIA, PA 19146
Nurse Practitioner (Family)
1401 S 31ST ST
PHILADELPHIA, PA 19146
Clinic/Center (Federally Qualified Health Center (FQHC))
1401 S 31ST ST, 2ND FLOOR
PHILADELPHIA, PA 19146
Dentist (General Practice)
1401 S 31ST ST
PHILADELPHIA, PA 19146
Advanced Practice Midwife
1401 S 31ST ST
PHILADELPHIA, PA 19146

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 John Odor's NPI number?

The NPI number for John Odor is 1710841044. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is John Odor located?

John Odor practices at 1401 S 31st St, Philadelphia, PA 19146. The listed phone number is (215) 755-7700.

What is John Odor's specialty?

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

Is John Odor enrolled in Medicare?

Yes. John Odor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Odor was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.