Active NPI
Janet R O'Donnell
- Psychologist
- Aledo, TX
National Provider Identifier
1407101272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 38958
- Practice address
- 107 Larson LN Ste 202
Aledo, TX 76008-4590 - Phone
- (817) 668-5056
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH60252235 | WA | |
| Psychologist | 103T00000X | PY60311615 | WA | |
| Psychologist | 103T00000X | 38958 | TX | Primary |
Addresses
Primary practice location
107 Larson LN Ste 202
Aledo, TX 76008-4590
Mailing address
107 Larson LN Ste 200
Aledo, TX 76008-4593
Phone (817) 668-5056
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH60252235 | WA | MD | Mental Health Counselor |
| PY60311615 | WA | MD | Psychologist |
| 38958 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Psychological Services | Psychologist | Current | Accepting new patients |
Locations
107 Larson Ln
Ste 200
Aledo, TX 76008
Phone (817) 668-5056
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 and National Provider Directory roles.
-
- Psychologist
- Aledo, TX
- NPI 1952062754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1407101272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 LARSON LN STE 200",
"city": "ALEDO",
"state": "TX",
"postal_code": "760084593",
"telephone_number": "817-668-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 LARSON LN STE 202",
"city": "ALEDO",
"state": "TX",
"postal_code": "760084590",
"telephone_number": "817-668-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "JANET",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60252235",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PY60311615",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "38958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aledo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.