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JAMES THOMAS OMALLEY
NPI 1174147615
Counselor - Mental Health in Saint Louis, MO

Active since June 01, 2020PECOS EnrolledAccepts Medicare Assignment
5138 OLDE SILVER PL, SAINT LOUIS, MO 63128(314) 640-9219 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2023, Jun 1, 2020 (2 updates tracked since 2020).

About James Thomas Omalley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES THOMAS OMALLEY (NPI 1174147615) is an individual mental health provider in Saint Louis, Missouri, licensed in Missouri (2008024640) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1174147615
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJAMES THOMAS OMALLEY
Location Address5138 OLDE SILVER PLSaint Louis, MO 63128-2907
Mailing Address5000 Cedar Plaza PkwySaint Louis, MO 63128-3841 · (314) 843-4333
Phone(314) 640-9219
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 1, 2020
Last NPPES UpdateDecember 5, 20232 updates tracked since enumeration
NPPES CertifiedDecember 5, 2023
✔ NPI 1174147615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MO · 2008024640
5138 OLDE SILVER PL, Saint Louis, MO 63128
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Thomas Omalley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951751460
PECOS Enrollment IDI20231226000987, I20240105003105, I20240417003407
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show James Omalley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sondermind Provider Network LLC
789 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado, Maryland and Missouri enrollments
  • 940 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Omalley's NPI number?

The NPI number for James Omalley is 1174147615. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is James Omalley located?

James Omalley practices at 5138 Olde Silver Pl, Saint Louis, MO 63128. The listed phone number is (314) 640-9219.

What is James Omalley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is James Omalley enrolled in Medicare?

Yes. James Omalley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Omalley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Omalley reassigns Medicare benefits to Sondermind Provider Network LLC (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Omalley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Omalley accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company, Select Health and UnitedHealthcare list James Omalley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Omalley was last updated on December 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.