- Practice location
- 776 Bennoch RD, Old Town, ME 04468-5508
- Phone
- 207-279-9792
- Fax
- —
- Last updated
- September 14, 2026
Jenny Marie Omlor is a Counselor, Mental Health based in Old Town, ME. Jenny Marie Omlor practices in Old Town, ME and has the professional credentials of LCPC, CADC, CCS. The NPI Number for Jenny Marie Omlor is 1114841632 and holds a License No. XL6928 (ME). The current practice location address for Jenny Marie Omlor is 776 Bennoch RD, Old Town, ME 04468-5508 and can be reached out via phone at 207-279-9792.
Provider Profile Details
- NPI Number
- 1114841632
- Provider Name
- Jenny Marie Omlor
- Credential
- LCPC, CADC, CCS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 776 Bennoch RD, Old Town, ME 04468-5508
- Phone Number
- 207-279-9792
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 6, 2026
- Last Update Date
- September 14, 2026
- Certification Date
- September 14, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 776 Bennoch RD
Old Town, ME 04468-5508 - City
- Old Town
- State
- Maine
- Zip
- 04468-5508
- Phone Number
- 207-279-9792
Provider Business Mailing Address Details
- Address
- 776 Bennoch RD
Old Town, ME 04468-5508 - City
- Old Town
- State
- ME
- Zip
- 04468-5508
- Phone Number
- 207-279-9792
License Information
- License Number
- XL6928
- License State
- ME
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Old Town, ME
View all Counselor, Mental Health providers in Old Town →Frequently Asked Questions
What is the NPI number of Jenny M Omlor, LCPC, CADC, CCS?
The NPI number of Jenny M Omlor, LCPC, CADC, CCS is 1114841632. It was assigned on August 6, 2026 and is currently active in the NPPES registry.
What is the specialty of Jenny M Omlor, LCPC, CADC, CCS?
Jenny M Omlor, LCPC, CADC, CCS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in ME under license number XL6928.
Where does Jenny M Omlor, LCPC, CADC, CCS practice?
The practice location is 776 Bennoch RD, Old Town, ME 04468-5508. The office can be reached at 207-279-9792 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114841632 directly on the NPPES registry website.