Individual provider Active NPI

Annmarie O'Daniel, LPC

  • Counselor
  • Corvallis, OR
National Provider Identifier
1518192301
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C2654 Issued in OR
Practice address
230 SW 3Rd St Ste 211
Corvallis, OR 97333-4656
Phone
(541) 829-2580
NPI assigned
May 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C2654 OR Primary

Addresses

Primary practice location

230 SW 3Rd St Ste 211
Corvallis, OR 97333-4656

Mailing address

5141 SW Meadow Flower Dr
Corvallis, OR 97333-1185
Phone (541) 829-2580

Other practice location 1

260 SW Madison Ave
Suite 114
Corvallis, OR 97333-4798
Phone (541) 829-2580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 4, 2024 through Mar 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C2654ORMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Annmarie O'Daniel Past Accepting new patients

Organizations & group practices 1

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": "1242864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1518192301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 SW MEADOW FLOWER DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331185",
            "telephone_number": "541-829-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SW 3RD ST STE 211",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334656",
            "telephone_number": "541-829-2580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 SW Madison Ave",
            "address_2": "Suite 114",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973334798",
            "country_code": "US",
            "telephone_number": "541-829-2580",
            "fax_number": "541-753-0184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DANIEL",
        "first_name": "ANNMARIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-21",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.