Individual provider Active NPI

Colleen Dawn O'Meara, L.A.C.

  • Mental Health Counselor
  • Lawrenceville, NJ
National Provider Identifier
1740696681
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00144700 Issued in NJ
Practice address
2550 Brunswick Pike
Lawrenceville, NJ 08648-4103
Phone
(609) 396-8877
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00144700 NJ Primary

Addresses

Primary practice location

2550 Brunswick Pike
Lawrenceville, NJ 08648-4103

Mailing address

2550 Brunswick Pike
Lawrenceville, NJ 08648-4103
Phone (609) 396-8877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123003783 NJ Practitioner - Mental Health Counselor 3476905613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CPC Behavioral Healthcare IncGroup PAC ID 3971593161, 58 clinicians

Practice addresses (Care Compare)

4539 US Hwy 9
Howell, NJ 07731-3380
Phone (732) 987-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00144700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CPC Behavioral Healthcare, Inc CurrentSince Jan 1, 2024 Accepting new patients
CPC Integrated Health, Inc. Current Accepting new patients

Locations

10 Industrial Way E
Eatontown, NJ 07724
Phone (732) 935-2220

22 Court St
Freehold, NJ 07728
Phone (732) 780-7387

4539 US Highway 9
Howell, NJ 07731
Phone (732) 901-5553

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": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1740696681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484103",
            "telephone_number": "609-396-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BRUNSWICK PIKE",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484103",
            "telephone_number": "609-396-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MEARA",
        "first_name": "COLLEEN",
        "middle_name": "DAWN",
        "credential": "L.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00144700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.