Active NPI
Abigail Eileen Omlor, LPCC LPAT ATR-BC
- Professional Counselor
- Albuquerque, NM
National Provider Identifier
1124451158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0178791
- Practice address
- 12836 Lomas Blvd NE Ste B
Albuquerque, NM 87112-6200 - Phone
- (920) 202-4427
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0178791 | NM | Primary |
Addresses
Primary practice location
12836 Lomas Blvd NE Ste B
Albuquerque, NM 87112-6200
Mailing address
12836 Lomas Blvd NE Ste B
Albuquerque, NM 87112-6200
Phone (920) 202-4427
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240611002814 | NM | Practitioner - Mental Health Counselor | 9931540135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CCMH0178791 | NM | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haven Counseling | Mental Health | Current | Accepting new patients |
Locations
12836 Lomas Blvd NE
Ste B
Albuquerque, NM 87112
Phone (505) 275-7795
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1124451158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12836 LOMAS BLVD NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871126200",
"telephone_number": "920-202-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12836 LOMAS BLVD NE STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871126200",
"telephone_number": "920-202-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMLOR",
"first_name": "ABIGAIL",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "LPCC LPAT ATR-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0178791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.