Active NPI
Elizabeth N O'Donnell
- Mental Health Counselor
- Norwalk, CA
National Provider Identifier
1154088359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 70075
- Practice address
- 12820 Pioneer Blvd
Norwalk, CA 90650-2875 - Phone
- (562) 818-4181
- NPI assigned
- Nov 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 70075 | CA | Primary |
Addresses
Primary practice location
12820 Pioneer Blvd
Norwalk, CA 90650-2875
Mailing address
12820 Pioneer Blvd
Norwalk, CA 90650-2875
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | eodonnell@nlmusd.k12.ca.us | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70075 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norwalk-la Mirada Usd | Past | Accepting new patients | |
| Act Family Counseling Incorporated | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Ontario, CA
- NPI 1831494350
-
- Local Education Agency (LEA)
- Norwalk, CA
- NPI 1679536262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1154088359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12820 PIONEER BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12820 PIONEER BLVD",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502875",
"telephone_number": "562-818-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "ELIZABETH",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "70075",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "eodonnell@nlmusd.k12.ca.us",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "12820 Pioneer Blvd",
"city": "Norwalk",
"state": "CA",
"country_code": "US",
"postal_code": "906502875",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.