Active NPI
Omni-Rose Clayton
- Professional Counselor
- Pocomoke City, MD
National Provider Identifier
1801650759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP14735
- Practice address
- 809 White Oaks LN
Pocomoke City, MD 21851-9589 - Phone
- (410) 726-3548
- NPI assigned
- Feb 12, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP14735 | MD | Primary |
Addresses
Primary practice location
809 White Oaks LN
Pocomoke City, MD 21851-9589
Mailing address
6655 Santa Barbara Rd Unit 8574
Elkridge, MD 21075-7523
Phone (866) 610-0580
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 |
|---|---|---|---|
| LGP14735 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1801650759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6655 SANTA BARBARA RD UNIT 8574",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210757523",
"telephone_number": "866-610-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "809 WHITE OAKS LN",
"city": "POCOMOKE CITY",
"state": "MD",
"postal_code": "218519589",
"telephone_number": "410-726-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAYTON",
"first_name": "OMNI-ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-12",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP14735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pocomoke City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.