Individual provider Active NPI

Dena Nelson O'Connor, LMFT

  • Marriage & Family Therapist
  • Cornelius, NC
National Provider Identifier
1609045533
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT1996 Issued in NC
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

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former 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
MFT52550CAMDMarriage & Family Therapist
LMFT1996NCMDMarriage & 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.

Verify at the official NPI Registry.