Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508076423 Individual Practitioner Female Practitioner

Deborah A Odom

Peer Specialist • Barstow, CA

Professional Overview & Biography Verified Profile Summary

Deborah Odom is a registered healthcare professional specializing in Peer Specialist in Barstow, CA. Practice services are available at 222 E MAIN ST # 117 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

222 E Main St # 117

Barstow, CA 923112361

Telephone 7602551496
Fax 7602552542
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Barstow, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Barstow, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-09
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Simon Staff Number
5401 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alexandra Gurneal

Marriage & Family Therapist

NPI 1003591686
Belinda Taft , MFT INTERN

Marriage & Family Therapist

NPI 1013283928

MFTINTERN

Bruce Malcolm , LMFT

Marriage & Family Therapist

NPI 1033499165

Licensed Marriage and Family Therapist

Keandrea Edmund

Community Health Worker

NPI 1033570403
Isabel Barragan

Day Training/Habilitation Specialist

NPI 1043948011
Melissa Fenchak

Community Health Worker

NPI 1053128512

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2023

Peer Specialist

📍
Updated Practice Location December 19, 2018

Registered at 222 E MAIN ST # 117, BARSTOW, CA 923112361 (Tel: 7602551496)

📍
Updated Business Mailing Address December 19, 2018

Registered at 222 E MAIN ST STE 117, BARSTOW, CA 923112361 (Tel: 7602551496)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2018

Community Health Worker

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 309 E MOUNTAIN VIEW ST STE 100, BARSTOW, CA 923112814 (Tel: 7602560376)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 7369, REDLANDS, CA 923750369 (Tel: 9093357067)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DEBORAH ODOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508076423
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: August 09, 2023
Sole Proprietor: No

Mailing Address

222 E Main St Ste 117

Barstow, CA 923112361

Phone: 7602551496

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.