Active NPI
Joseph Ombrello Jr., DPC. LCPC, LMHC,LIAC
- Professional Counselor
- Niceville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- BBH-LCPC-LIC-81381
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| LIAC15416 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LICDC.162703 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0023158 | CO | MD | Professional Counselor |
| BBH-LCPC-LIC-81381 | MT | MD | Professional Counselor |
| E.2505841 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Psycare, Inc. | Current | Accepting new patients | |
| Psy-Care Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| The Healing Joureny | Past | Accepting new patients | |
| The Healing Joureny | Mental Health | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
- NPI 1396705349
Addiction (Substance Use Disorder)
-
- Community/Behavioral Health Agency
- Struthers, OH
- NPI 1104462589
-
- Community/Behavioral Health Agency
- Yuma, AZ
- NPI 1164976924
-
- Mental Health Counselor
- Yuma, AZ
- NPI 1306369251
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.