Individual provider Active NPI

Alana Marie O'Neill, LGPC,CAC-AD

  • Mental Health Counselor
  • Joppa, MD
National Provider Identifier
1083396485
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LGP14155 Issued in MD
Practice address
622 Dembytown Rd
Joppa, MD 21085-4111
Phone
(410) 823-5357
NPI assigned
Aug 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LGP14155 MD Primary

Addresses

Primary practice location

622 Dembytown Rd
Joppa, MD 21085-4111

Mailing address

622 Dembytown Rd
Joppa, MD 21085-4111
Phone (410) 823-5357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000194 MD Practitioner - Mental Health Counselor 0648711622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reclaim and Restore Healing CompanyGroup PAC ID 9739620717, 5 clinicians

Practice addresses (Care Compare)

2120 Emmorton Park Rd
Suite E
Edgewood, MD 21040-1066
Phone (443) 402-1925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP14155MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reclaim and Restore Healing Company Mental Health CurrentSince Aug 14, 2023 Accepting new patients
American Psychiatric Group PA Past Accepting new patients
American Psychiatric Group, P.a. Mental Health Past Accepting new patients
American Psychiatric Group, P.a. Past Accepting new patients

Locations

2120 Emmorton Park Rd
Ste E
Edgewood, MD 21040
Phone (410) 612-0374

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1083396485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 DEMBYTOWN RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854111",
            "telephone_number": "410-823-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 DEMBYTOWN RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210854111",
            "telephone_number": "410-823-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ALANA",
        "middle_name": "MARIE",
        "credential": "LGPC,CAC-AD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP14155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joppa, MD

Sources for this page

Verify at the official NPI Registry.