Individual provider Active NPI

Jill Lynn O'Neill, M.ED., LPC

  • Professional Counselor
  • Victoria, TX
National Provider Identifier
1487904801
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66117 Issued in TX
Practice address
5003 John Stockbauer Dr Ste J
Victoria, TX 77904-1937
Phone
(361) 935-5561
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66117 TX Primary

Addresses

Primary practice location

5003 John Stockbauer Dr Ste J
Victoria, TX 77904-1937

Mailing address

5003 John Stockbauer Dr Ste J
Victoria, TX 77904-1937
Phone (361) 935-5561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240311002622 TX Practitioner - Mental Health Counselor 1951747187 Practice locations: Victoria, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1487904801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 JOHN STOCKBAUER DR STE J",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041937",
            "telephone_number": "361-935-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 JOHN STOCKBAUER DR STE J",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041937",
            "telephone_number": "361-935-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "JILL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.