Individual provider Active NPI

Marilyn A. O'Hara

  • Professional Counselor
  • Dallas, TX
National Provider Identifier
1306172283
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2499 Issued in TX
Practice address
12820 Hillcrest Rd
Suite 107
Dallas, TX 75230-1526
Phone
(972) 490-9026
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2499 TX
Professional Counselor 101YP2500X 2499 TX Primary

Addresses

Primary practice location

12820 Hillcrest Rd
Suite 107
Dallas, TX 75230-1526

Mailing address

12820 Hillcrest Rd
Suite 107
Dallas, TX 75230-1526
Phone (972) 490-9026

Other names 1

  • Miss Marilyn A. Booth Former name

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
2499TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1306172283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "972-490-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12820 HILLCREST RD",
            "address_2": "SUITE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301526",
            "telephone_number": "972-490-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "MARILYN",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "2499",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "2499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "BOOTH",
            "middle_name": "A.",
            "prefix": "MISS",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.