Individual provider Active NPI

Christine Lee O'Neill, M.S.

  • Mental Health Counselor
  • Boulder, CO
National Provider Identifier
1164541827
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5563 Issued in CO
Practice address
3180 Airport Rd
Boulder, CO 80301-2208
Phone
(303) 957-6293
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 618 CO
Mental Health Counselor 101YM0800X 5563 CO Primary

Addresses

Primary practice location

3180 Airport Rd
Boulder, CO 80301-2208

Mailing address

1008 Northern Way
Superior, CO 80027-8178
Phone (303) 378-6668

Other practice location 1

1036 University Ave
Boulder, CO 80302-6102
Phone (303) 443-6155

Other identifiers 1

IdentifierTypeStateIssuer
1164541827MedicaidCO

Other names 1

  • Ms. Christine Lee Decrew Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240105004209 CO Practitioner - Mental Health Counselor 8921459686 Reassigns benefits to 1 organization
I20251113002479 FL Practitioner - Mental Health Counselor 8921459686 Reassigns benefits to 1 organization
I20251114001103 KS Practitioner - Mental Health Counselor 8921459686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind, P.a. Mental Health CurrentSince Oct 1, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Oct 1, 2025 Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1164541827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 NORTHERN WAY",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800278178",
            "telephone_number": "303-378-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 AIRPORT RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012208",
            "telephone_number": "303-957-6293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 University Ave",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803026102",
            "country_code": "US",
            "telephone_number": "303-443-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "CHRISTINE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "618",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "5563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164541827",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DECREW",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.