Individual provider Active NPI

Stephanie O'Mara

  • Professional Counselor
  • Greensburg, PA
National Provider Identifier
1255715959
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008243 Issued in PA
Practice address
1225 S Main St Ste 207
Greensburg, PA 15601-5370
Phone
(724) 217-8847
Fax
(724) 217-8410
NPI assigned
Jul 13, 2015
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008243 PA Primary

Addresses

Primary practice location

1225 S Main St Ste 207
Greensburg, PA 15601-5370

Mailing address

1004 Lavender St
Jeannette, PA 15644-4074
Phone (724) 331-1171

Other identifiers 1

IdentifierTypeStateIssuer
1034589940002MedicaidPA

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

LicenseStateTypeSpecialty
PC008243PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Groves Psychological Center CurrentSince Nov 13, 2022 Accepting new patients

Locations

1225 S Main St
Ste 207
Greensburg, PA 15601
Phone (724) 217-8847

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1255715959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 LAVENDER ST",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444074",
            "telephone_number": "724-331-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S MAIN ST STE 207",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156015370",
            "telephone_number": "724-217-8847",
            "fax_number": "724-217-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MARA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034589940002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.