Active NPI
Lynette O'Donnell, M.F.T.
- Marriage & Family Therapist
- Mount Shasta, CA
National Provider Identifier
1487915021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 44893
- Practice address
- 427 Alder St
Box 557
Mount Shasta, CA 96067-2306 - Phone
- (530) 209-1257
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 44893 | CA | Primary |
Addresses
Primary practice location
427 Alder St
Box 557
Mount Shasta, CA 96067-2306
Mailing address
1828 Shasta Acres Rd
Mount Shasta, CA 96067-9444
Phone (530) 209-1257
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 |
|---|---|---|---|
| 44893 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1487915021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 SHASTA ACRES RD",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960679444",
"telephone_number": "530-209-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "427 ALDER ST",
"address_2": "BOX 557",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672306",
"telephone_number": "530-209-1257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "LYNETTE",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "44893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Shasta, CA
- Caleb Andrew Newton, DO
- Nicholas Patrick Brown, DO (MBS Integrative Psychiatry)
- Cori Niles
- North State Hospitalist Medical Group, Inc
- Benjamin Shane Nuti, CRNA
- Glen S O'Sullivan, M.D.
- Gabriel Ochoa, M.D.
- Michael Edward Paddack, ATC, PTA, CPT
- Gina Renee Palady, L.AC.
- Parish Anesthesia of California, a Professional Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.