Patrick O'Connell, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002253A Issued in IN

Legal business name

PATRICK O'CONNELL, LLC

Practice address

2005 Valparaiso St
Suite # 109
Valparaiso, IN 46383-3137

Phone

(219) 465-8794

Fax

(219) 299-2430

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Patrick O'Connell, LMHC

Title

Owner

Phone

(219) 465-8794

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1669867016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST",
            "address_2": "SUITE # 109",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833137",
            "telephone_number": "219-465-8794",
            "fax_number": "219-299-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 VALPARAISO ST",
            "address_2": "SUITE # 109",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833137",
            "telephone_number": "219-465-8794",
            "fax_number": "219-299-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK O'CONNELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-465-8794",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002253A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Valparaiso, IN
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.