Omar Palmer, BCC,BCPC

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

130 S Indian River Dr Ste 202
Fort Pierce, FL 34950-4353

Phone

(772) 773-0229

NPI assigned

Sep 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Advent Prestige Care LLC

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1235887621
  NPD

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1518688035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 SW MONTANA TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532072",
            "telephone_number": "772-773-0229",
            "fax_number": "772-272-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S INDIAN RIVER DR STE 202",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504353",
            "telephone_number": "772-773-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "OMAR",
        "credential": "BCC,BCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Page, APRN
• Pain Management and Interventional Nerve Block Speciatlists LLC
• Stanley Pala, M.D.
• Brenton Palmer
• Elizabeth Ann Palmer, MD
• Sheryl Palmer
• Wendy Palmer
• Kamlesh Pranshanker Pandya, M.D.
• Bradley S Panton, MD
• Teteisha S Paris, LPN

• Pastoral Counselor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.