Active NPI
Andrea Lynn O'Connell
- Addiction (Substance Use Disorder) Counselor
- Raymond, NH
National Provider Identifier
1649606534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13061
- Practice address
- 61 Route 27 Ste 10
Raymond, NH 03077-1273 - Phone
- (802) 227-4011
- NPI assigned
- Sep 24, 2013
- Last updated
- Nov 21, 2024
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13061 | MA | Primary |
Addresses
Primary practice location
61 Route 27 Ste 10
Raymond, NH 03077-1273
Mailing address
1 Heavens Way
Berkley, MA 02779-1148
Phone (774) 319-7984
Other names 1
- Andrea Lynn Cabral
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Heavens Way
Berkley, MA 02779-1148
Phone (802) 227-4011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13061 | MA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onelife, LLC | Current | Accepting new patients |
Locations
61 Route 27
Ste 10
Raymond, NH 03077
Phone (603) 734-9036
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1649606534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HEAVENS WAY",
"city": "BERKLEY",
"state": "MA",
"postal_code": "027791148",
"telephone_number": "774-319-7984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 ROUTE 27 STE 10",
"city": "RAYMOND",
"state": "NH",
"postal_code": "030771273",
"telephone_number": "802-227-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "ANDREA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "13061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "CABRAL",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Raymond, NH
- New England Molecular Imaging LLC
- Ryan Thai Duong Nguyen, PHARM.D
- Sarah Elizabeth Nohmer, NP
- Northeast Orthopaedic Alliance PLLC
- Holly Lynn Nye
- Sharon Ann Obrien, OTR/L
- Paul D Silver DMD PA (Lamprey Dental Associates)
- Jessica Marie Payeur
- Pinnacle Rehabilitation Network, LLC (Excel Physical Therapy)
- Karen Prazar, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.