Individual provider Active NPI

Michele Lee O'Connell, LPC

  • Professional Counselor
  • Carlisle, PA
National Provider Identifier
1245472372
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005099 Issued in PA
Practice address
1200 Walnut Bottom Rd
Suite 311
Carlisle, PA 17015-7766
Phone
(717) 243-1511
Fax
(717) 243-1530
NPI assigned
Apr 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005099 PA Primary

Addresses

Primary practice location

1200 Walnut Bottom Rd
Suite 311
Carlisle, PA 17015-7766

Mailing address

1200 Walnut Bottom Rd
Suite 311
Carlisle, PA 17015-7766
Phone (717) 243-1511

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

LicenseStateTypeSpecialty
PC005099PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Valley Counseling Associates PC Professional PastSince Dec 4, 2007 Accepting new patients

Organizations & group practices 1

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": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1245472372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WALNUT BOTTOM RD",
            "address_2": "SUITE 311",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157766",
            "telephone_number": "717-243-1511",
            "fax_number": "717-243-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WALNUT BOTTOM RD",
            "address_2": "SUITE 311",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157766",
            "telephone_number": "717-243-1511",
            "fax_number": "717-243-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "MICHELE",
        "middle_name": "LEE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.