Lisa Ilene Oconnell, M.A., M.F.T

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT36289 Issued in CA

Practice address

4405 W Riverside Dr
Suite 105
Burbank, CA 91505-4072

Phone

(310) 281-5573

NPI assigned

Nov 2, 2016

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1457803736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR",
            "address_2": "SUITE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054072",
            "telephone_number": "310-281-5573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 W RIVERSIDE DR",
            "address_2": "SUITE 105",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054072",
            "telephone_number": "310-281-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNELL",
        "first_name": "LISA",
        "middle_name": "ILENE",
        "credential": "M.A., M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT36289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Obregon
• Gina Napenas Obsenares, PA-C
• Occupational Health Centers of California, a Medical Corporation
• Christopher Omondi Ochieng
• Issamar Ochoa
• Odessa Hospice and Palliative Care, Inc.
• Official Home Health Care
• Ellen Oganesyan, NURSE PRACTITIONER
• Knarik Oganesyan, FNP PMHNP
• Jessica Ogunleye, PHARMD

• Marriage & Family Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.