Active NPI
Shannon M O'Neal, LPC
- Mental Health Counselor
- Hartford, CT
National Provider Identifier
1619683026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005910
- Practice address
- 287 Main St Ste 4
Hartford, CT 06118-1885 - Phone
- (860) 569-5900
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005910 | CT | Primary |
Addresses
Primary practice location
287 Main St Ste 4
Hartford, CT 06118-1885
Mailing address
800 Connecticut Blvd FL 4
East Hartford, CT 06108-3239
Phone (860) 569-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
281 Main St
East Hartford, CT 06118-1823
Phone (860) 291-1335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005910 | CT | MD | Speech-Language Pathologist |
| 5910 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercommunity, Inc. | Current | Accepting new patients | |
| Intercommunity, Inc. | Current | Accepting new patients |
Locations
281 Main St
East Hartford, CT 06118
Phone (860) 291-1335
16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701
800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- East Hartford, CT
- NPI 1073548533
-
- Federally Qualified Health Center (FQHC)
- East Hartford, CT
- NPI 1962896548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1619683026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CONNECTICUT BLVD FL 4",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083239",
"telephone_number": "860-569-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 MAIN ST STE 4",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061181885",
"telephone_number": "860-569-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "SHANNON",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "005910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.