Individual provider Active NPI

Aerin Alex Omalley

  • Marriage & Family Therapist
  • Ukiah, CA
National Provider Identifier
1457727414
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT114059 Issued in CA
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

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LMFT114059CAMDMarriage & Family Therapist
MF8607MEMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.