Individual provider Active NPI

Adam O'Neill, LPCC

  • Mental Health Counselor
  • Saint Paul, MN
National Provider Identifier
1689118200
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
01395 Issued in MN
Practice address
130 Wabasha St S
Suite 90
Saint Paul, MN 55107-1819
Phone
(651) 291-0067
Fax
(651) 450-2221
NPI assigned
Dec 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 01395 MN Primary

Addresses

Primary practice location

130 Wabasha St S
Suite 90
Saint Paul, MN 55107-1819

Mailing address

1740 Livingston Ave
West St Paul, MN 55118-3912
Phone (651) 457-2248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508001370 MN Practitioner - Mental Health Counselor 3678090016 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01395MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Metro Human Services CurrentSince Feb 23, 2025 Accepting new patients
Guild Past Accepting new patients
Guild Past Accepting new patients

Locations

166 4th St E
Ste 200
Saint Paul, MN 55101
Phone (651) 291-1979

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1689118200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 LIVINGSTON AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551183912",
            "telephone_number": "651-457-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WABASHA ST S",
            "address_2": "SUITE 90",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551071819",
            "telephone_number": "651-291-0067",
            "fax_number": "651-450-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "ADAM",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "01395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.