Individual provider Active NPI

Megan O'Donnell, LCSW

  • Mental Health Counselor
  • Glen Mills, PA
National Provider Identifier
1114541489
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CW020733 Issued in PA
Practice address
43 Huntingdon Farm Dr
Glen Mills, PA 19342-1478
Phone
(484) 802-6624
NPI assigned
Jun 3, 2020
Last updated
Jun 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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 CW020733 PA Primary

Addresses

Primary practice location

43 Huntingdon Farm Dr
Glen Mills, PA 19342-1478

Mailing address

43 Huntingdon Farm Dr
Glen Mills, PA 19342-1478
Phone (484) 802-6624

Other identifiers 1

IdentifierTypeStateIssuer
CW020733OtherPAPA LICENSE CLINICAL SOCIAL WORKER

Other names 1

  • Megan D'Angelo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laptop Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW020733PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1114541489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 HUNTINGDON FARM DR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421478",
            "telephone_number": "484-802-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 HUNTINGDON FARM DR",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421478",
            "telephone_number": "484-802-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "MEGAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW020733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE CLINICAL SOCIAL WORKER",
            "identifier": "CW020733",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "43 Huntingdon Farm Dr",
            "city": "Glen Mills",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193421478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "D'ANGELO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Mills, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.