Organization Active NPI

O'Neill Enterprises LTD

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1649836149
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Mr. Christopher O'Neill, LCSWNPI 1841746344
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20190911003377 CO Part B Supplier - Clinic/Group Practice 7416286794 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.