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BRIA ODOM
NPI 1992389639
Counselor - Mental Health in Jacksonville, FL

Active since May 10, 2021PECOS Enrolled
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207(904) 493-7744 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2024, May 10, 2021 (2 updates tracked since 2021).

About Bria Odom NPPES

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

BRIA ODOM (NPI 1992389639) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH24096) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1992389639
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBRIA ODOM
Location Address3027 SAN DIEGO RDJacksonville, FL 32207-3691
Mailing Address2370 Red Moon DrJacksonville, FL 32216-4708 · (904) 710-7986
Phone(904) 493-7744
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 10, 2021
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1992389639 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 FL · MH24096
3027 SAN DIEGO RD, Jacksonville, FL 32207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID2163915596
PECOS Enrollment IDI20251204000844
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.

SETH GOZAR
Social Worker
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Duval County (904) 493-7744
RAQUEL SADE STEVENS
Social Worker (Clinical)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Duval County (904) 493-7744
DAWN ELISE WATLEY
Counselor (Mental Health)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Duval County (904) 493-7744
COURTNEY RHODES
Counselor (Mental Health)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Duval County (904) 493-7744
MS. LAURA BLANTON
Case Manager/Care Coordinator
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Duval County (904) 493-7744
BRIANA GRIFFIN BSW
Social Worker
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Duval County (904) 493-8327
JENNIFER LYNN CAIRNS
Case Manager/Care Coordinator
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Duval County (772) 999-0516
ANGELA STILL
Social Worker (Clinical)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Duval County (904) 493-7744

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 Bria Odom's NPI number?

The NPI number for Bria Odom is 1992389639. It was assigned to this individual provider in the NPPES registry on May 10, 2021.

Where is Bria Odom located?

Bria Odom practices at 3027 San Diego Rd, Jacksonville, FL 32207. The listed phone number is (904) 493-7744.

What is Bria Odom's specialty?

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

Is Bria Odom enrolled in Medicare?

Yes. Bria Odom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bria Odom was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.