Active NPI
John Joseph Oneill III, EDD, LCSW, LCDC, CAS
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1336338904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 30824
- Practice address
- 6108 Whipple Way
Suite 450
Austin, TX 78745-2077 - Phone
- (832) 274-4651
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 7934 | TX | |
| Clinical Social Worker | 1041C0700X | 30824 | TX | Primary |
Addresses
Primary practice location
6108 Whipple Way
Suite 450
Austin, TX 78745-2077
Mailing address
6108 Whipple Way
Suite 450
Austin, TX 78745-2077
Phone (832) 274-4651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 28, 2017 through Dec 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7934 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 30824 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1336338904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6108 WHIPPLE WAY",
"address_2": "SUITE 450",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787452077",
"telephone_number": "832-274-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6108 WHIPPLE WAY",
"address_2": "SUITE 450",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787452077",
"telephone_number": "832-274-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONEILL",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "EDD, LCSW, LCDC, CAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "7934",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "30824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.