Individual provider Active NPI

Karen Delcina Omosola, PHD

  • Counselor
  • Las Vegas, NV
National Provider Identifier
1235561499
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
NV20243225195 Issued in NV
Practice address
8215 S Eastern Ave Ste 109
Las Vegas, NV 89123-2515
Phone
(702) 466-4360
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Counselor 101Y00000X NV20243225195 NV Primary

Addresses

Primary practice location

8215 S Eastern Ave Ste 109
Las Vegas, NV 89123-2515

Mailing address

4074 Campeche Ave
Las Vegas, NV 89121-2512
Phone (702) 466-4360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929003638 NV Practitioner - Mental Health Counselor 2961908041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

8215 S Eastern Ave
Suite 109
Las Vegas, NV 89123-2515
Phone (775) 902-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NV20243225195NVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Exodus Family Guidance and Wellness, PLLC Current Accepting new patients
Mindful Therapy Group PC CurrentSince Sep 1, 2025 Accepting new patients
Exodus Family & Guidance Coalition, LLC Past Accepting new patients

Locations

8215 S Eastern Ave
Ste 109
Las Vegas, NV 89123
Phone (775) 902-8300

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

Organizations & group practices 3

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1235561499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4074 CAMPECHE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212512",
            "telephone_number": "702-466-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 S EASTERN AVE STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232515",
            "telephone_number": "702-466-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOSOLA",
        "first_name": "KAREN",
        "middle_name": "DELCINA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "NV20243225195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.