Jillian O'Brien, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2017014821 Issued in MO

Practice address

11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966

Phone

(314) 533-8200

NPI assigned

Jul 1, 2019

Last updated

Sep 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Provident Inc.

  dba Provident Behavioral Health

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1710023791
  NPD
• Provident Inc

  dba Provident Behavioral Health

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1043491020
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1083276919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11166 TESSON FERRY RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236966",
            "telephone_number": "314-802-2647",
            "fax_number": "314-842-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 TESSON FERRY RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236966",
            "telephone_number": "314-533-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "967 Gardenview Office Pkwy Ste 16",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631415917",
            "country_code": "US",
            "telephone_number": "314-275-0933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Hamel",
            "state": "IL",
            "postal_code": "620461062",
            "country_code": "US",
            "telephone_number": "217-556-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "JILLIAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2017014821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Lee O'Brien, OTR/L
• Daniel Robert O'Brien
• Edward O'Brien, M.D.
• Emily C O'Brien, OD
• Frank Joseph O'Brien, MD
• Katherine O'Brien, MD
• Kathryn G O'Brien, MAED, LCSW, PHD
• Marisa A O'Brien, OD
• Mary C O'Brien, L.P.C.
• Nora Elizabeth O'Brien, ANP

• Mental Health Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.