Connie Davis O'Neal, MS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6058 Issued in TN

Practice address

1135 W 3Rd North St Ste a
Morristown, TN 37814-3889

Phone

(423) 587-9339

Fax

(423) 587-3439

NPI assigned

Dec 27, 2022

Last updated

Dec 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Wellsprings Counseling Group, LLC

  • Professional Counselor
  • Morristown, TN
  • NPI 1083701692
  NPD

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1083327704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 COLONIAL DR",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378142557",
            "telephone_number": "423-231-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W 3RD NORTH ST STE A",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378143889",
            "telephone_number": "423-587-9339",
            "fax_number": "423-587-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "CONNIE",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "6058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "c.oneal@wellspringscounseling.com",
            "affiliation": "Y",
            "affiliationName": "Wellsprings Counseling Group, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1135 W 3rd North St Ste A",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378143889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "c.oneal@wellspringscounseling.com",
            "affiliation": "N",
            "address_1": "1135 W 3rd North St Ste A",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378143889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Morristown, TN
• Providers in Morristown, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.