NPIMap

Organization Active NPI

Melissa O'Connor Counseling, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1699349381
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MELISSA O'CONNOR COUNSELING, PLLC
Practice address
4319 N Kenmore Ave Apt 1S
Chicago, IL 60613-0117
Phone
(908) 797-8476
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Authorized official

Name
Melissa Queen O'Connor, LCSWNPI 1154604825
Title
Licensed Clinical Social Worker
Phone
(908) 797-8476

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

4319 N Kenmore Ave Apt 1S
Chicago, IL 60613-0117

Mailing address

4319 N Kenmore Ave Apt 1S
Chicago, IL 60613-0117
Phone (908) 797-8476

National Provider Directory

National Provider Directory

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": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1699349381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 N KENMORE AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606130117",
            "telephone_number": "908-797-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 N KENMORE AVE APT 1S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606130117",
            "telephone_number": "908-797-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA O'CONNOR COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "QUEEN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "908-797-8476",
        "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 Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.