Jason O'Connor, CPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

3388 Issued in IN

Practice address

504 Grand Valley Blvd
Martinsville, IN 46151-5883

Phone

(609) 864-5860

NPI assigned

Oct 31, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Treatment Centers in-I, LLC

  dba Recovery Works Martinsville

  • Substance Abuse Rehabilitation Facility
  • Martinsville, IN
  • NPI 1619639523
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1023830833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BUCHANAN ST",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461681400",
            "telephone_number": "765-810-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GRAND VALLEY BLVD",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515883",
            "telephone_number": "609-864-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "JASON",
        "credential": "CPRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IN",
            "license": "3388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Murphy, LCSW
• Nancy Nerad, LCAC
• Lori Ann Nesbit, MSW, LCSW
• Barbara Darlene Newell, APRN, BC, FNP
• Philip H Nowak, OD
• Michael Leonard O'Neal, O.D.
• Otolaryngology Associates LLC
• Monica Alise Palmore
• Arlene M. Parker, PMHNP-BC
• Renee Parker, CADAC II, MATS

• Peer Specialist in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Peer Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.