Organization Active NPI

Oneill Counseling Services LLC

  • Clinical Social Worker
  • Hartford, CT
National Provider Identifier
1598264780
Registry record updated May 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ONEILL COUNSELING SERVICES LLC
Practice address
674 Prospect Ave
Hartford, CT 06105
Phone
(203) 690-7688
NPI assigned
Feb 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2022

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

Authorized official

Name
Annette O'Neill, LCSWNPI 1942681820
Title
Owner/Clinician
Phone
(203) 808-5237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

674 Prospect Ave
Hartford, CT 06105

Mailing address

674 Prospect Ave
Hartford, CT 06105-4288
Phone (203) 690-7688

Other identifiers 1

IdentifierTypeStateIssuer
1942681820MedicaidCT

Other names 1

  • Oneill Counseling Services Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220815000602 CT Part B Supplier - Clinic/Group Practice 6901289578 Receives reassigned benefits from 1 practitioner
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory

Locations

674 Prospect Ave
Ste 206
Hartford, CT 06105
Phone (203) 690-7688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653696000000",
    "number": "1598264780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061054288",
            "telephone_number": "203-690-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 PROSPECT AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "203-690-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONEILL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2022-05-28",
        "certification_date": "2022-05-28",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "203-808-5237",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942681820",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oneill Counseling Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.