Active NPI
Stacy Moore O'Mara, L.M.H.C.
- Counselor
- Casselberry, FL
National Provider Identifier
1114135837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH9094
- Practice address
- 661 Seminola Blvd
Casselberry, FL 32707-3057 - Phone
- (407) 405-0585
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH9094 | FL | Primary |
Addresses
Primary practice location
661 Seminola Blvd
Casselberry, FL 32707-3057
Mailing address
661 Seminola Blvd
Casselberry, FL 32707-3057
Phone (407) 405-0585
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH9094 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114135837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 SEMINOLA BLVD",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073057",
"telephone_number": "407-405-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 SEMINOLA BLVD",
"city": "CASSELBERRY",
"state": "FL",
"postal_code": "327073057",
"telephone_number": "407-405-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MARA",
"first_name": "STACY",
"middle_name": "MOORE",
"name_prefix": "Ms.",
"credential": "L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH9094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casselberry, FL
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- Noble&Meaningfulkids ABA Therapy
- Lumen Nordblom, ARNP
- Nxstage Orlando North, LLC
- O2 Respiratory Medical Equipment, Inc.
- Kayla Oberkfell, RBT, BCAT
- Jacqueline Suzette Oladipo, ARNP-BC
- Ashleigh C Oliver, RPH
- Omnichoice Health Services, LLC. (Paramount Urgent Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.