Active NPI
Aerin Alex Omalley
- Marriage & Family Therapist
- Ukiah, CA
National Provider Identifier
1457727414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT114059
- Practice address
- 169 Mason St
Ukiah, CA 95482-4482 - Phone
- (707) 463-3300
- NPI assigned
- Aug 13, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT114059 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | MF8607 | ME | |
| Mental Health Counselor | 101YM0800X | LMFT114059 | CA |
Addresses
Primary practice location
169 Mason St
Ukiah, CA 95482-4482
Mailing address
169 Mason St
Ukiah, CA 95482-4482
Phone (707) 463-3300
Other practice location 1
99 S Humboldt St
Willits, CA 95490-3509
Phone (707) 459-9900
Other practice location 2
337 E Redwood Ave
Fort Bragg, CA 95437-3549
Phone (707) 408-8002
Other practice location 3
776 S State St Ste 107
Ukiah, CA 95482-5858
Phone (707) 489-8002
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 |
|---|---|---|---|
| LMFT114059 | CA | MD | Marriage & Family Therapist |
| MF8607 | ME | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Community Services, Inc. | Mental Health | Past | Accepting new patients |
| Redwood Community Services, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Willits, CA
- NPI 1174661284
-
- Community/Behavioral Health Agency
- Lakeport, CA
- NPI 1891859047
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1457727414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 MASON ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824482",
"telephone_number": "707-463-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 MASON ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824482",
"telephone_number": "707-463-3300"
}
],
"practiceLocations": [
{
"address_1": "99 S Humboldt St",
"address_purpose": "LOCATION",
"city": "Willits",
"state": "CA",
"postal_code": "954903509",
"country_code": "US",
"telephone_number": "707-459-9900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "337 E Redwood Ave",
"address_purpose": "LOCATION",
"city": "Fort Bragg",
"state": "CA",
"postal_code": "954373549",
"country_code": "US",
"telephone_number": "707-408-8002",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "776 S State St Ste 107",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954825858",
"country_code": "US",
"telephone_number": "707-489-8002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OMALLEY",
"first_name": "AERIN",
"middle_name": "ALEX",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-13",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT114059",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "ME",
"license": "MF8607",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT114059",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.