DR. LISA NICHOLE ODOM PSY.D
NPI 1801108345
Student in an Organized Health Care Education/Training Program in Fort Bragg, NC
About Dr. Lisa Nichole Odom Psy.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA NICHOLE ODOM PSY.D (NPI 1801108345) is an individual student in an organized health care education/training program in Fort Bragg, North Carolina and active in the NPI registry since July 2010.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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.
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
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 Lisa Odom's NPI number?
The NPI number for Lisa Odom is 1801108345. It was assigned to this individual provider in the NPPES registry on July 13, 2010. The provider is also known as Lisa Nichole Jacobsen M.A..
Where is Lisa Odom located?
Lisa Odom practices at 2817 Rock Merritt Ave, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.
What is Lisa Odom's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
When was this NPI record last updated?
The NPPES record for Lisa Odom was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.
# Dr. Lisa Nichole Odom, PSY.D · NPI 1801108345
Student in an Organized Health Care Education/Training Program provider in Fort Bragg, North Carolina. Individual provider, active in the CMS NPPES registry since July 13, 2010.
## Identity
- **NPI:** 1801108345 (Entity type: Individual)
- **Enumerated:** July 13, 2010
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2817 ROCK MERRITT AVE, Fort Bragg, NC 28310-0001
- **Phone:** (910) 907-8922
## Record status
- **NPPES last updated:** September 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1801108345) · Data from the CMS NPPES public registry.