Mackenzie O'Mealey, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7633 Issued in OK

Practice address

917 Cedar Lake Blvd
Oklahoma City, OK 73114-7813

Phone

(405) 602-9413

Fax

(405) 652-0307

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 5, 2024 through Jul 5, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Seasons of Change Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Edmond, OK
  • NPI 1821405770
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1356861538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 CEDAR LAKE BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147813",
            "telephone_number": "405-602-9413",
            "fax_number": "405-652-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 CEDAR LAKE BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731147813",
            "telephone_number": "405-602-9413",
            "fax_number": "405-652-0307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 S Fretz Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730035568",
            "country_code": "US",
            "telephone_number": "405-726-9808",
            "fax_number": "405-726-9809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 S Fretz Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730035570",
            "country_code": "US",
            "telephone_number": "405-726-9808",
            "fax_number": "405-726-9809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MEALEY",
        "first_name": "MACKENZIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca O'Donnell, CNP
• Daniel L O'Donoghue, PA.C
• Laura Hedrick O'Hara, MS, RD, LD
• Holly O'Hearn, APRN
• Janet Lynn O'Kresik, MS, RDN, LD
• Caroline M O'Neal, PA
• Kevin O'Neal, D.O.
• Morgan Nicole O'Neal, DO
• Cara Christina O'Neill-McEntire, LPC. RPT
• Damon Patrick O'Neill

• Professional Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.