Active NPI
Colleen M O'Donnell, LCAT
- Counselor
- Lynbrook, NY
National Provider Identifier
1447595137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 05 000491
- Practice address
- 211 Broadway
Suite 207
Lynbrook, NY 11563-3290 - Phone
- (516) 458-5664
- NPI assigned
- Dec 6, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 05 000491 | NY | Primary |
Addresses
Primary practice location
211 Broadway
Suite 207
Lynbrook, NY 11563-3290
Mailing address
211 Broadway
Suite 207
Lynbrook, NY 11563-3290
Phone (516) 458-5664
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 |
|---|---|---|---|
| 05 000491 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354752000000",
"number": "1447595137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 BROADWAY",
"address_2": "SUITE 207",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633290",
"telephone_number": "516-458-5664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 BROADWAY",
"address_2": "SUITE 207",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "115633290",
"telephone_number": "516-458-5664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "COLLEEN",
"middle_name": "M",
"credential": "LCAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-06",
"last_updated": "2012-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "05 000491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.