Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396140331 Individual Practitioner Female Practitioner

Kimberly Odom , LPC

Counselor - Professional • Augusta, GA

Professional Overview & Biography Verified Profile Summary

Kimberly Odom, LPC is a registered healthcare professional specializing in Counselor - Professional in Augusta, GA. Practice services are available at 1265 INTERSTATE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1265 Interstate Pkwy

Augusta, GA 309096481

Telephone 7068493386
Associated Practice Facility / Clinic
🏢 Tracey Taylor Carter Facility NPI 1649702739

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Augusta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
195 Specialists

Practicing in Augusta, GA (6655 Statewide)

Telehealth Adoption Rate
1.5% 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: 2025-02-21
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA 007734

Definition to come...

Secondary Practice Locations

191 Faith Dr Se

Milledgeville, GA 310618327

Phone: 7707121743

465 Winn Way Ste 221

Decatur, GA 300301723

Phone: 8885888995

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1457632150

Doctor of Philosophy (Ph.D.)

Sylina Holmes , LCSW

Social Worker - Clinical

NPI 1750634614

Licensed Clinical Social Worker

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 21, 2025

Registered at 1265 INTERSTATE PKWY, AUGUSTA, GA 309096481 (Tel: 7068493386)

📍
Updated Practice Location March 31, 2023

Registered at 465 WINN WAY STE 221, DECATUR, GA 300301723 (Tel: 8885888995)

📍
Updated Business Mailing Address March 31, 2023

Registered at 465 WINN WAY STE 221, DECATUR, GA 300301723 (Tel: 8885888995)

NPI Profile Active November 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2014

Registered at 1630 VINSON HWY SE, MILLEDGEVILLE, GA 310614102 (Tel: 4782519345)

📍
Updated Business Mailing Address November 04, 2014

Registered at PO BOX 213, MILLEDGEVILLE, GA 310590213 (Tel: 4782519345)

👤
Provider Name / Credentials Updated November 04, 2014

Recorded as KIMBERLY ODOM, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2014

Counselor (License #007734 in GA)

🟢
Initial NPI Registration & Enumeration November 04, 2014

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: 1396140331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2014
Last Update: February 21, 2025
Sole Proprietor: Yes

Mailing Address

465 Winn Way Ste 221

Decatur, GA 300301723

Phone: 8885888995

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.