KAREN OMALLEY (PCC-S) – Counselor, NPI 1396198842

KAREN OMALLEY (PCC-S) is a healthcare provider. based in Cleveland, Ohio. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PCC-S. They hold a License No. E.0900193SUPV (OH). The NPI Number for KAREN OMALLEY (PCC-S) is 1396198842

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
KAREN OMALLEY (PCC-S)
NPI
1396198842
Phone
(216) 206-5201
Address
8411 BROADWAY AVE
Enumeration Date
20 July 2016
Last Update Date
20 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4405230370
Graduation Year
2010 (16 years ago)
PAC ID
6901330109
Group Practice PAC ID
1759671589
Professional Enrollment ID
I20241111002720
Address ID
OH441306319CL16600RDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,538 MENTAL HEALTH COUNSELOR in OH

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Provider Addresses for KAREN OMALLEY (PCC-S)

  • 8411, Broadway Avenue, Warszawa Neighborhood Historic District, Slavic Village, Cleveland, Cuyahoga County, Ohio, 44105, United States

    CLEVELAND, OH 441053932

    Phone: (216) 206-5201

    Fax: (216) 441-3637

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241111002720IMental Health CounselorOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44105)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759671589View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Clinical Social WorkerCA
Mental Health CounselorOH
-OH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

Does KAREN OMALLEY (PCC-S) have a public NPI I can cite?
Public records show KAREN OMALLEY (PCC-S) under NPI 1396198842.
Does the public listing show KAREN OMALLEY (PCC-S) as active?
KAREN OMALLEY (PCC-S)'s NPI record reflects an active status in NPPES.
How should patients interpret KAREN OMALLEY (PCC-S)'s specialty?
The extract shows Counselor for KAREN OMALLEY (PCC-S). Clinical services aligned with this taxonomy classification.
Can patients visit KAREN OMALLEY (PCC-S) in Cleveland, Ohio?
For routing, start with Cleveland, Ohio for KAREN OMALLEY (PCC-S), then verify phone and hours locally.
Why is information missing for KAREN OMALLEY (PCC-S)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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