Active NPI
Doris Liliam Omdahl, LMHC
- Counselor
- Orlando, FL
National Provider Identifier
1356428932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MHC3042
- Practice address
- 2101 Park Center Drive
Suite 270
Orlando, FL 32835 - Phone
- (407) 523-1219
- Fax
- (407) 523-2398
- NPI assigned
- Nov 1, 2006
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MHC3042 | FL | Primary |
Addresses
Primary practice location
2101 Park Center Drive
Suite 270
Orlando, FL 32835
Mailing address
2101 Park Center Drive
Suite 270
Orlando, FL 32835
Phone (407) 523-1219
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 |
|---|---|---|---|
| MHC3042 | FL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356428932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 PARK CENTER DRIVE",
"address_2": "SUITE 270",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32835",
"telephone_number": "407-523-1219",
"fax_number": "407-523-2398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 PARK CENTER DRIVE",
"address_2": "SUITE 270",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32835",
"telephone_number": "407-523-1219",
"fax_number": "407-523-2398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMDAHL",
"first_name": "DORIS",
"middle_name": "LILIAM",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MHC3042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
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.