Individual provider Active NPI

Daniel Omalley, LPCC

  • Mental Health Counselor
  • Avon, OH
National Provider Identifier
1962215665
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2404943 Issued in OH
Practice address
38100 Colorado Ave
Avon, OH 44011-1031
Phone
(440) 961-1008
NPI assigned
Jan 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X E.2404943 OH Primary

Addresses

Primary practice location

38100 Colorado Ave
Avon, OH 44011-1031

Mailing address

2016 Clarence Ave
Lakewood, OH 44107-6204

Other practice location 1

2016 Clarence Ave
Lakewood, OH 44107-6204
Phone (412) 689-7951

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

LicenseStateTypeSpecialty
E.2404943OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eve Mental Health LLC CurrentSince Apr 6, 2025 Accepting new patients
My Happy Place Wellness Center Single Specialty CurrentSince Feb 2, 2025 Accepting new patients

Locations

38100 Colorado Ave
Avon, OH 44011
Phone (440) 935-9106

Organizations & group practices 2

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": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1962215665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 CLARENCE AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441076204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38100 COLORADO AVE",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111031",
            "telephone_number": "440-961-1008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2016 Clarence Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "OH",
            "postal_code": "441076204",
            "country_code": "US",
            "telephone_number": "412-689-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMALLEY",
        "first_name": "DANIEL",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2404943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.