ODONA S EZELL-WHIDDON LPC
NPI 1972160323
Counselor in Columbus, GA

Active since May 21, 2019Opted out of Medicare · through Jan 4, 2028
2325 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904(706) 653-6841(706) 653-7843 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2022, May 21, 2019 (2 updates tracked since 2019).

About Odona S Ezell-whiddon Lpc NPPES

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

ODONA S EZELL-WHIDDON LPC (NPI 1972160323) is an individual counselor in Columbus, Georgia, licensed in Georgia (LPC006827) and active in the NPI registry since May 2019. She has opted out of Medicare through January 4, 2028 and maintains a secondary practice location in Waverly Hall.

NPPES Registry Identity

NPI1972160323
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameODONA S EZELL-WHIDDONCredential: LPC
Location Address2325 BROOKSTONE CENTRE PKWYColumbus, GA 31904-4500
Mailing AddressPo Box 63Ellerslie, GA 31807-0063 · (762) 359-0230
Fax(706) 653-7843
Sole ProprietorYes
Enumeration DateMay 21, 2019
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
NPI 1972160323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in GA · LPC006827
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC006827 (GA)
2325 BROOKSTONE CENTRE PKWY, Columbus, GA 31904

Secondary Practice Location 1

Location 17443 Ga Highway 85Waverly Hall, GA 31831-2807 · Phone (762) 359-0230

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

Odona S Ezell-whiddon Lpc 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 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Psychologist (Clinical)
2325 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Counselor (Mental Health)
2325 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Counselor (Professional)
2325 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Psychologist
2325 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Psychologist (Clinical)
2325 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Psychologist (Clinical)
2325 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Psychologist (Clinical Child & Adolescent)
2325 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
Social Worker (Clinical)
2325 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904

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 Odona Ezell-whiddon's NPI number?

The NPI number for Odona Ezell-whiddon is 1972160323. It was assigned to this individual provider in the NPPES registry on May 21, 2019.

Where is Odona Ezell-whiddon located?

Odona Ezell-whiddon practices at 2325 Brookstone Centre Pkwy, Columbus, GA 31904. The listed phone number is (706) 653-6841.

What is Odona Ezell-whiddon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Odona Ezell-whiddon enrolled in Medicare?

No. Odona Ezell-whiddon has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Odona Ezell-whiddon accept?

Health plans from Alliant Health Plans, Inc. and CareSource list Odona Ezell-whiddon 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 Odona Ezell-whiddon was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.