Mary Jean O'Meara, LPC
Individual provider Active NPI Professional Counselor · Ship Bottom, NJ
NPI 1366640260 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366640260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 37PC00129200 (NJ)
- Practice address
- 816 Long Beach Blvd
Ship Bottom, NJ 08008-4608 - Phone
- (609) 618-7479
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00129200 | NJ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00129200 | NJ | Yes |
Addresses
Primary practice location
816 Long Beach Blvd
Ship Bottom, NJ 08008-4608
Mailing address
6 E Ohio Ave
Long Beach Township, NJ 08008-2851
Phone (609) 618-7479
Other providers in Ship Bottom, NJ
- Sean Michael Martin
- Arnav R Mistry
- Michael J Moran
- Mse Medical Services
- New Jersey CVS Pharmacy LLC
- Ocean County Family Care
- Ocean Family Dental, P.C.
- Taryn Parascand
- Daniel Anthony Parrotta
- Paul William Prosperi
All providers in Ship Bottom, NJ · Professional Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.