Active NPI
Oman & Oman Counseling, Inc.
- Professional Counselor
- Rockford, IL
National Provider Identifier
1104831999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- OMAN & OMAN COUNSELING, INC.
- Practice address
- 5055 Spring Creek Rd
Rockford, IL 61114-6325 - Phone
- (815) 639-9405
- Fax
- (815) 639-9407
- NPI assigned
- Jul 30, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randall A Oman, D.PHIL., L.C.P.C.
- Title
- Co-Owner
- Phone
- (815) 639-9405
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary | |
| Professional Counselor | 101YP2500X | IL | ||
| Professional Counselor | 101YP2500X | IL | ||
| Professional Counselor | 101YP2500X | IL |
Addresses
Primary practice location
5055 Spring Creek Rd
Rockford, IL 61114-6325
Mailing address
5055 Spring Creek Rd
Rockford, IL 61114-6325
Phone (815) 639-9405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10121002 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Rockford, IL
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- Mental Health Counselor
- Rockford, IL
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- Professional Counselor
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104831999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 SPRING CREEK RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611146325",
"telephone_number": "815-639-9405",
"fax_number": "815-639-9407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5055 SPRING CREEK RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611146325",
"telephone_number": "815-639-9405",
"fax_number": "815-639-9407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OMAN & OMAN COUNSELING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OMAN",
"authorized_official_first_name": "RANDALL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "815-639-9405",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.PHIL., L.C.P.C."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "10121002",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.