Individual provider Active NPI

Jessica Marie O'Neil, LCPC

  • Professional Counselor
  • Hagerstown, MD
National Provider Identifier
1346703014
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC7542 Issued in MD
Practice address
1140 Professional CT
Hagerstown, MD 21740-5852
Phone
(301) 778-5900
Fax
(301) 778-5200
NPI assigned
Apr 10, 2019
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 LC7542 MD Primary

Addresses

Primary practice location

1140 Professional CT
Hagerstown, MD 21740-5852

Mailing address

1140 Professional CT
Hagerstown, MD 21740-5852
Phone (301) 778-5900

Other identifiers 1

IdentifierTypeStateIssuer
999746600MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.risecounselingllc.com Direct
CONNECT URL www.risecounselingllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 10, 2024 through Dec 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC7542MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Counseling & Wellness Group LLC Professional CurrentSince Aug 28, 2021 Accepting new patients

Locations

1140 Professional Ct
Hagerstown, MD 21740
Phone (240) 420-8625

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1346703014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405852",
            "telephone_number": "301-778-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 PROFESSIONAL CT",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405852",
            "telephone_number": "301-778-5900",
            "fax_number": "301-778-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEIL",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC7542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999746600",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.risecounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "217 Monument Dr",
            "city": "Boonsboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217133407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.risecounselingllc.com",
            "affiliation": "N",
            "address_1": "1140 Professional Ct",
            "city": "Hagerstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217405852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.