Individual provider Active NPI

Andrea Eileen Oneal, LPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1508337007
Registry record updated Dec 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6347 Issued in LA
Practice address
2020 E 70TH St Ste 201
Shreveport, LA 71105-5332
Phone
(318) 751-9098
Fax
(318) 751-9098
NPI assigned
Dec 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2018

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 6347 LA Primary

Addresses

Primary practice location

2020 E 70TH St Ste 201
Shreveport, LA 71105-5332

Mailing address

2020 E 70TH St Ste 201
Shreveport, LA 71105-5332
Phone (318) 751-9098

Other names 1

  • Andrea Eileen Oneal Professional name

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

LicenseStateTypeSpecialty
6347LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Counseling and Wellness Professional Current Accepting new patients
Elated Counseling Services LLC Professional PastSince Oct 13, 2020 Accepting new patients
Reef Wellness Professional Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1508337007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 E 70TH ST STE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055332",
            "telephone_number": "318-751-9098",
            "fax_number": "318-751-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E 70TH ST STE 201",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055332",
            "telephone_number": "318-751-9098",
            "fax_number": "318-751-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEAL",
        "first_name": "ANDREA",
        "middle_name": "EILEEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "6347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "ONEAL",
            "middle_name": "EILEEN",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; 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.