Emily Ann O'Connor, MS, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

424 E Longview Dr Ste a
Appleton, WI 54911-2167

Phone

(920) 364-9078

NPI assigned

Feb 19, 2018

Last updated

Nov 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CCP Clinic LLCGroup PAC ID 7214394022, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• CCP Clinic, LLC

  • Clinical Psychologist
  • De Pere, WI
  • NPI 1396431714
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1427558279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E LONGVIEW DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112167",
            "telephone_number": "920-234-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E LONGVIEW DR STE A",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549112167",
            "telephone_number": "920-364-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann O'Brien, LPC
• Amy L O'Connell, CD
• Christopher M O'Connell, PT
• Katherine O'Connell
• O'Connor Chiropractic, SC
• Timothy J O'Connor, DC
• Kristin L O'Neill, RN
• Molly A O'Neill, RN
• Tenniele O'Reilly, P.T.
• Kerry O'Sullivan, COTA

• Mental Health Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.