Active NPI
Dena Nelson O'Connor, LMFT
- Marriage & Family Therapist
- Cornelius, NC
National Provider Identifier
1609045533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT1996
- Practice address
- 18805 W Catwba Ave Ste 205a
Cornelius, NC 28031-4609 - Phone
- (336) 844-4741
- NPI assigned
- Feb 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT52550 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT1996 | NC | Primary |
Addresses
Primary practice location
18805 W Catwba Ave Ste 205a
Cornelius, NC 28031-4609
Mailing address
18805 W Catawba Ave Ste 205a
Cornelius, NC 28031-4609
Phone (951) 219-4680
Other practice location 1
2910 Briarcliffe Rd
Winston Salem, NC 27106
Phone (336) 844-4741
Other names 1
- Dena Nelson
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 |
|---|---|---|---|
| MFT52550 | CA | MD | Marriage & Family Therapist |
| LMFT1996 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1609045533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18805 W CATAWBA AVE STE 205A",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314609",
"telephone_number": "951-219-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18805 W CATWBA AVE STE 205A",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314609",
"telephone_number": "336-844-4741"
}
],
"practiceLocations": [
{
"address_1": "2910 Briarcliffe Rd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "27106",
"country_code": "US",
"telephone_number": "336-844-4741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNOR",
"first_name": "DENA",
"middle_name": "NELSON",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-25",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT52550",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "LMFT1996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENA",
"last_name": "NELSON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.