Active NPI
Nicole O'Hare, MS, LPC, CMHIMP
- Professional Counselor
- Chandler, AZ
National Provider Identifier
1407391204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-18730
- Practice address
- 1820 E Ray Rd Ste A100
Chandler, AZ 85225-8720 - Phone
- (602) 427-6302
- NPI assigned
- Jan 3, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC-18730 | AZ | |
| Professional Counselor | 101YP2500X | LPC-18730 | AZ | Primary |
Addresses
Primary practice location
1820 E Ray Rd Ste A100
Chandler, AZ 85225-8720
Mailing address
1820 E Ray Rd Ste A100
Chandler, AZ 85225-8720
Phone (602) 427-6302
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-18730 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1407391204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 E RAY RD STE A100",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852258720",
"telephone_number": "602-427-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 E RAY RD STE A100",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852258720",
"telephone_number": "602-427-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'HARE",
"first_name": "NICOLE",
"credential": "MS, LPC, CMHIMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-03",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-18730",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-18730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.