Organization Active NPI

Omata LLC

  • Professional Counselor
  • Oakdale, CT
National Provider Identifier
1689163388
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
OMATA LLC
Practice address
1 Fellows Rd Apt 47
Oakdale, CT 06370-1624
Phone
(860) 334-5900
NPI assigned
May 8, 2018
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Mrs. Morgan Ann Ajello, LPC, NCCNPI 1952890659
Title
Owner
Phone
(860) 334-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 46.003444 CT
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1 Fellows Rd Apt 47
Oakdale, CT 06370-1624

Mailing address

1 Fellows Rd Apt 47
Oakdale, CT 06370-1624
Phone (860) 334-5900

Other identifiers 1

IdentifierTypeStateIssuer
46.003444MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1689163388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FELLOWS RD APT 47",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701624",
            "telephone_number": "860-334-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FELLOWS RD APT 47",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701624",
            "telephone_number": "860-334-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "AJELLO",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-334-5900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "46.003444",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46.003444",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.