ODYSSEY HOUSE INC
ODYSSEY HOUSE INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1033143706, based in Salt Lake City, UT. The organization lists 15 taxonomy classifications, with Substance Use Disorder Rehabilitation Clinic/Center recorded as primary.
Getting there
The practice address on file is 340 E 100 S, Salt Lake City, UT 84111. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 163407-1205 | UT | Primary Care Clinic/Center |
| 11273 | UT | Substance Use Disorder Rehabilitation… primary |
This provider holds licence 163407-1205 issued in UT. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2365458833
- Enrollment ID
- O20060222000116
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Rehabilitation, Substance Use Disorder covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QR0405X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084P0802X | Addiction Psychiatry Physician Addiction Psychiatry | — | — | |
| 251S00000X | Community/Behavioral Health Agency | — | — | |
| 1041C0700X | Clinical Social Worker Clinical | — | — | |
| 324500000X | Substance Abuse Rehabilitation Facility | — | — | |
| 101YP2500X | Professional Counselor Professional | — | — | |
| 1041S0200X | School Social Worker School | — | — | |
| 101YS0200X | School Counselor School | — | — | |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | |
| 261QP2300X | Primary Care Clinic/Center Primary Care | 163407-1205 | UT | |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health | — | — | |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health | — | — | |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | — | — | |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | |
| 106H00000X | Marriage & Family Therapist | — | — | |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder | 11273 | UT | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1033143706 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 10, 2006 |
| Last updated | Jan 13, 2026 |
| Status | Active |
| Practice address |
340 E 100 S Salt Lake City, UT 84111 (801) 322-3222 Fax (801) 322-2831 |
| Mailing address |
117 W 400 S Salt Lake City, UT 84101 |
| Other identifiers |
=========
· Medicaid (UT) ========= · Medicaid (UT) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 1 | 4 | 3 | 7 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 2 | 4 | 6 | 7 | 0 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.