Active NPI
Christine Lee O'Neill, M.S.
- Mental Health Counselor
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5563
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164541827 | Medicaid | CO |
Other names 1
- Ms. Christine Lee Decrew
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind, P.a. | Mental Health | Current | Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.