ODYSSEY OF THE HEART LLC
NPI 1962279091
Counselor - Professional in State College, PA
About Odyssey Of The Heart Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODYSSEY OF THE HEART LLC (NPI 1962279091) is a healthcare organization registered as a professional in State College, Pennsylvania and active in the NPI registry since December 2023. The organization lists Leslie Sullivan, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Of The Heart Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Odyssey Of The Heart LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Of The Heart LLC's NPI number?
The NPI number for Odyssey Of The Heart LLC is 1962279091. It was assigned to this organization in the NPPES registry on December 8, 2023.
Where is Odyssey Of The Heart LLC located?
Odyssey Of The Heart LLC is located at 187 Honors Ln, State College, PA 16803. The listed phone number is (484) 802-5250.
What is Odyssey Of The Heart LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Odyssey Of The Heart LLC enrolled in Medicare?
Yes. Odyssey Of The Heart LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Odyssey Of The Heart LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Odyssey Of The Heart LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Odyssey Of The Heart LLC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Odyssey Of The Heart Llc · NPI 1962279091
Professional organization in State College, Pennsylvania. Organization record, active in the CMS NPPES registry since December 8, 2023.
## Identity
- **NPI:** 1962279091 (Entity type: Organization)
- **Enumerated:** December 8, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Leslie Sullivan, OWNER
## Practice location
- **Address:** 187 HONORS LN, State College, PA 16803-1838
- **Phone:** (484) 802-5250
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962279091) · Data from the CMS NPPES public registry.