Mark Andrew Omiliak, PPO COUNSELING

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

230250784 Issued in CA

Practice address

1145 Church St
Redlands, CA 92374-3553

Phone

(909) 895-8913

NPI assigned

Aug 13, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1861378085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 CHURCH ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743553",
            "telephone_number": "909-895-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 CHURCH ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743553",
            "telephone_number": "909-895-8913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 W Rialto Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011922",
            "country_code": "US",
            "telephone_number": "909-907-1013 x1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMILIAK",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PPO COUNSELING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "230250784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Olfert
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• Dennise Yvonne Olvera
• Karenya Olvera
• Samah Omar, DDS
• Elizabeth A Omoniyi
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• Mary Susanne Oneal, RN
• Derek Onjukka, DDS
• Ngozi O Onumonu, BSC

• School Counselor in Redlands, CA
• Providers in Redlands, CA by specialty
• School Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.