Active NPI
O'Neill Enterprises LTD
- Clinical Social Worker
- Colorado Springs, CO
National Provider Identifier
1649836149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- O'NEILL ENTERPRISES LTD
- Practice address
- 2790 N Academy Blvd Ste 312
Colorado Springs, CO 80917-5347 - Phone
- (719) 444-0250
- Fax
- (719) 444-0253
- NPI assigned
- May 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher O'Neill, LCSW
- Title
- Owner
- Phone
- (913) 558-2320
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2790 N Academy Blvd Ste 312
Colorado Springs, CO 80917-5347
Mailing address
4264 Red Desert PL
Colorado Springs, CO 80923-9212
Phone (913) 558-2320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2790 N Academy Blvd
Ste 312
Colorado Springs, CO 80917
Phone (719) 444-0250
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Colorado Springs, CO
- NPI 1841746344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721347200000",
"number": "1649836149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4264 RED DESERT PL",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809239212",
"telephone_number": "913-558-2320",
"fax_number": "719-444-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 N ACADEMY BLVD STE 312",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175347",
"telephone_number": "719-444-0250",
"fax_number": "719-444-0253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'NEILL ENTERPRISES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-10",
"last_updated": "2024-07-19",
"certification_date": "2024-07-19",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "913-558-2320",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.