Individual provider Active NPI

Darcy Cecelia McConnell, LPC, LADC

  • Counselor
  • Edmond, OK
National Provider Identifier
1396979670
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4633 Issued in OK
Practice address
2000 Sonoma Park Dr
Edmond, OK 73013-2092
Phone
(405) 285-7260
Fax
(405) 285-2280
NPI assigned
May 14, 2009
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4633 OK Primary

Addresses

Primary practice location

2000 Sonoma Park Dr
Edmond, OK 73013-2092

Mailing address

2000 Sonoma Park Dr
Edmond, OK 73013-2092
Phone (405) 285-7260

Other identifiers 1

IdentifierTypeStateIssuer
100731270 AMedicaidOK

Other names 1

  • Darcy Cecelia McConnell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306001744 OK Practitioner - Mental Health Counselor 3779929310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 Sonoma Park Dr
Edmond, OK 73013-2092
Phone (405) 285-7260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4633OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Compliance & Resolution Services of Oklahoma, LLC Counselor CurrentSince Jan 23, 2024 Accepting new patients
Edmond Family Counseling, Inc. Past Accepting new patients

Locations

2000 Sonoma Park Dr
Edmond, OK 73013
Phone (405) 285-2260

Organizations & group practices 3

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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1396979670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SONOMA PARK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132092",
            "telephone_number": "405-285-7260",
            "fax_number": "405-285-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SONOMA PARK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132092",
            "telephone_number": "405-285-7260",
            "fax_number": "405-285-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "DARCY",
        "middle_name": "CECELIA",
        "credential": "LPC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "4633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100731270 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCY",
            "last_name": "MCCONNELL",
            "middle_name": "CECELIA",
            "credential": "M.ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.