Individual provider Active NPI

Deborah L O'Neal, L.M.H.C.

  • Mental Health Counselor
  • Palm Coast, FL
National Provider Identifier
1366636144
Registry record updated Aug 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 9388 Issued in FL
Practice address
381 Palm Coast Pkwy SW Unit 1
West Pointe Professional Center
Palm Coast, FL 32137-4782
Phone
(386) 864-1931
Fax
(386) 597-2903
NPI assigned
Sep 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 9388 FL Primary

Addresses

Primary practice location

381 Palm Coast Pkwy SW Unit 1
West Pointe Professional Center
Palm Coast, FL 32137-4782

Mailing address

15 Port Royal Dr
Palm Coast, FL 32164-6730
Phone (386) 864-1931

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
MH 9388FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344643200000",
    "number": "1366636144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PORT ROYAL DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321646730",
            "telephone_number": "386-864-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 PALM COAST PKWY SW UNIT 1",
            "address_2": "WEST POINTE PROFESSIONAL CENTER",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374782",
            "telephone_number": "386-864-1931",
            "fax_number": "386-597-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "DEBORAH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2012-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2012; 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.