Individual provider Active NPI

Joseph Ombrello Jr., DPC. LCPC, LMHC,LIAC

  • Professional Counselor
  • Niceville, FL
National Provider Identifier
1831772813
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
BBH-LCPC-LIC-81381 Issued in MT
Practice address
2159 Bayshore Dr
Niceville, FL 32578-3633
Phone
(480) 442-4184
NPI assigned
Apr 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LIAC15416 AZ
Professional Counselor 101YP2500X E.2505841 OH
Professional Counselor 101YP2500X BBH-LCPC-LIC-81381 MT Primary
Professional Counselor 101YP2500X LPC.0023158 CO
Mental Health Counselor 101YM0800X MH28076 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162703 OH

Addresses

Primary practice location

2159 Bayshore Dr
Niceville, FL 32578-3633

Mailing address

2159 Bayshore Dr
Niceville, FL 32578-3633
Phone (480) 442-4184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260209000176 OH Practitioner - Mental Health Counselor 0446763577 Reassigns benefits to 1 organization
I20260227000396 MT Practitioner - Mental Health Counselor 0446763577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3040 Belmont Ave
Suite C
Youngstown, OH 44505-1836

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LIAC15416AZMDAddiction (Substance Use Disorder) Counselor
LICDC.162703OHMDAddiction (Substance Use Disorder) Counselor
LPC.0023158COMDProfessional Counselor
BBH-LCPC-LIC-81381MTMDProfessional Counselor
E.2505841OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Jan 26, 2026 Accepting new patients
Psycare, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Psy-Care Inc Addiction (Substance Use Disorder) CurrentSince Jan 13, 2026 Accepting new patients
The Healing Joureny PastSince Mar 1, 2023 Accepting new patients
The Healing Joureny Mental Health PastSince Mar 1, 2023 Accepting new patients

Locations

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

8577 E Market St
Warren, OH 44484
Phone (330) 856-6663

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276

Organizations & group practices 5

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1831772813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2159 BAYSHORE DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783633",
            "telephone_number": "480-442-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 BAYSHORE DR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783633",
            "telephone_number": "480-442-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMBRELLO",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPC. LCPC, LMHC,LIAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LIAC15416",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2505841",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "BBH-LCPC-LIC-81381",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0023158",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28076",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niceville, FL

Sources for this page

Verify at the official NPI Registry.