SEAN O'DWYER
NPI 1386008043
Counselor - Mental Health in Long Beach, CA

Active since April 08, 2016PECOS EnrolledAccepts Medicare Assignment
161 W VICTORIA ST, LONG BEACH, CA 90805(323) 242-5000 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sean O'dwyer NPPES

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

SEAN O'DWYER (NPI 1386008043) is an individual mental health provider in Long Beach, California and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1386008043
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSEAN O'DWYER
Location Address161 W VICTORIA STLong Beach, CA 90805-2175
Mailing Address161 W Victoria StLong Beach, CA 90805-2175 · (323) 242-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 8, 2016
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1386008043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
161 W VICTORIA ST, Long Beach, CA 90805

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

Sean O'dwyer 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 ID1850809930
PECOS Enrollment IDI20250731002494
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 Sean O'dwyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
161 W VICTORIA ST
LONG BEACH, CA 90805
Marriage & Family Therapist
161 W VICTORIA ST
LONG BEACH, CA 90805
Student in an Organized Health Care Education/Training Program
161 W VICTORIA ST
LONG BEACH, CA 90805
Marriage & Family Therapist
161 W VICTORIA ST
LONG BEACH, CA 90805
Social Worker (School)
161 W VICTORIA ST, SUITE #255
LONG BEACH, CA 90805
Rehabilitation Practitioner
161 W VICTORIA ST
LONG BEACH, CA 90805
Student in an Organized Health Care Education/Training Program
161 W VICTORIA ST
LONG BEACH, CA 90805
Marriage & Family Therapist
161 W VICTORIA ST
LONG BEACH, CA 90805

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 Sean O'dwyer's NPI number?

The NPI number for Sean O'dwyer is 1386008043. It was assigned to this individual provider in the NPPES registry on April 8, 2016.

Where is Sean O'dwyer located?

Sean O'dwyer practices at 161 W Victoria St, Long Beach, CA 90805. The listed phone number is (323) 242-5000.

What is Sean O'dwyer's specialty?

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

Is Sean O'dwyer enrolled in Medicare?

Yes. Sean O'dwyer 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 Sean O'dwyer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean O'dwyer reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). 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 Sean O'dwyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sean O'dwyer was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.