MARK PATRICK ODLAND MA, LMFT, MDIV
NPI 1730332586
Marriage & Family Therapist in White Bear Lake, MN

Active since October 24, 2008Opted out of Medicare · through Jan 16, 2028
4910 CONSTELLATION DR, WHITE BEAR LAKE, MN 55127(651) 243-2484(651) 925-0045 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mark Patrick Odland Ma, Lmft, Mdiv NPPES

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

MARK PATRICK ODLAND MA, LMFT, MDIV (NPI 1730332586) is an individual marriage & family therapist in White Bear Lake, Minnesota, licensed in Minnesota (2081) and active in the NPI registry since October 2008. He has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1730332586
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMARK PATRICK ODLANDCredential: MA, LMFT, MDIV
Location Address4910 CONSTELLATION DRWhite Bear Lake, MN 55127-2218
Mailing Address4910 Constellation DrWhite Bear Lake, MN 55127-2218 · (651) 243-2484 · Fax (651) 925-0045
Fax(651) 925-0045
Sole ProprietorNo
Enumeration DateOctober 24, 2008
Last NPPES UpdateMay 26, 2026
NPPES CertifiedMay 26, 2026
NPI 1730332586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in MN · 2081
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4910 CONSTELLATION DR, White Bear Lake, MN 55127

Accepted 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

Mark Patrick Odland Ma, Lmft, Mdiv 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 January 16, 2024 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2024
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
4910 CONSTELLATION DR
WHITE BEAR LAKE, MN 55127
Marriage & Family Therapist
4910 CONSTELLATION DR
WHITE BEAR LAKE, MN 55127

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 Mark Odland's NPI number?

The NPI number for Mark Odland is 1730332586. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Mark Odland located?

Mark Odland practices at 4910 Constellation Dr, White Bear Lake, MN 55127. The listed phone number is (651) 243-2484.

What is Mark Odland's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mark Odland enrolled in Medicare?

No. Mark Odland has opted out of Medicare through January 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mark Odland accept?

Health plans from HealthPartners and Sanford Health Plan list Mark Odland 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 Mark Odland was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.