Active NPI
Betty Omlor, LMFT
- Marriage & Family Therapist
- Wrightwood, CA
National Provider Identifier
1962289017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT132862
- Practice address
- 1420 Betty Street
Wrightwood, CA 92397-0481 - Phone
- (909) 319-1144
- NPI assigned
- Sep 12, 2023
- Last updated
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT132862 | CA | Primary |
Addresses
Primary practice location
1420 Betty Street
Wrightwood, CA 92397-0481
Mailing address
P.O. Box 481
Wrightwood, CA 92397-0481
Phone (909) 319-1144
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT132862 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1962289017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 481",
"city": "WRIGHTWOOD",
"state": "CA",
"postal_code": "923970481",
"telephone_number": "909-319-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 BETTY STREET",
"city": "WRIGHTWOOD",
"state": "CA",
"postal_code": "923970481",
"telephone_number": "909-319-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMLOR",
"first_name": "BETTY",
"name_prefix": "Miss",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-12",
"last_updated": "2024-06-10",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT132862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wrightwood, CA
- Genderlab, Inc. (GenderLab)
- Ginosyan Inc (Hesperia Assisted Living)
- Jauregui Wrightwood Chiropractic Care, Inc
- Mario Albert Jauregui, D.C.
- Meaghan Martin Licensed Clinicial Social Worker Corporation
- Catherine Saldana, M.A.
- Steve Sexton, DPT
- Seung K Shon, DDS
- Melissa K. Stratton, LMFT 135761
- Heather Williams, CADC - III
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.