Kristen O'Connell, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MHC00180 Issued in RI

Practice address

49 Pavilion Ave
Suite 105
Providence, RI 02905-1534

Phone

(401) 490-8930

Fax

(401) 490-8930

NPI assigned

May 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1235185034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 KINGSTOWN RD",
            "city": "WYOMING",
            "state": "RI",
            "postal_code": "028981101",
            "telephone_number": "401-481-6217",
            "fax_number": "401-481-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PAVILION AVE",
            "address_2": "SUITE 105",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029051534",
            "telephone_number": "401-490-8930",
            "fax_number": "401-490-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "KRISTEN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KM46155",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen O'Brien, M.D.
• Sarah D O'Brien, LICSW, RPT-S
• Tanya M O'Brien, OTR/L
• Erica L O'Connell, OTR/L
• Kaylie Marie O'Connell, MD
• Leila Kathryn O'Connell, MSW
• Mary Rita O'Connell, LMHC
• Meggan Elizabeth O'Connell, MS, CCC-SLP
• Patricia O'Connell, NP
• Brigid O'Connor, M.D.

• Mental Health Counselor in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.