Madeline Catherine O'Malley, LC10651

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC10651 Issued in MD

Practice address

10031 Old Ocean City Blvd Ste 102
Berlin, MD 21811-1174

Phone

(443) 605-2153

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Catharsis Counseling

  • Professional Counselor
  • Berlin, MD
  • NPI 1811696818
  NPD Authorized official

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1932725306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 UPSHUR LN",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111437",
            "telephone_number": "443-605-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 OLD OCEAN CITY BLVD STE 102",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218111174",
            "telephone_number": "443-605-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "MADELINE",
        "middle_name": "CATHERINE",
        "credential": "LC10651",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "LGP8830",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC10651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "momalley@gowoyo.org",
            "affiliation": "N",
            "address_1": "124 N Main St Ste C",
            "city": "Berlin",
            "state": "MD",
            "country_code": "US",
            "postal_code": "218111062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Nicole Nicholson, LCSW-C
• Jenna Nieto
• Jonelle Nobbee
• Nurses United LLC
• Brandon M O'Brien
• Oc Pharma, Inc
• Ocean Acupuncture, LLC
• Ocean Front Counseling
• Ocean Orthopedics PC
• Ocean Physical Therapy & Sports Medicine, Inc

• Mental Health Counselor in Berlin, MD
• Providers in Berlin, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.