Active NPI
John Patrick O'Neal, LCPC
- Professional Counselor
- Idaho Falls, ID
National Provider Identifier
1710318480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-7346
- Practice address
- 7173 Nugget Creek
Idaho Falls, ID 83406-8282 - Phone
- (208) 209-2329
- NPI assigned
- Dec 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-7346 | ID | Primary |
Addresses
Primary practice location
7173 Nugget Creek
Idaho Falls, ID 83406-8282
Mailing address
7173 Nugget Creek
Idaho Falls, ID 83406-8282
Phone (208) 209-2329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 S Woodruff Ave
Suite A3
Idaho Falls, ID 83401-4865
Phone (208) 524-4818
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Sage Services LLC | Counselor | Current | Accepting new patients |
| Alliance Home Health of Idaho, LLC | Past | Accepting new patients |
Locations
211 S Woodruff Ave
Ste A3
Idaho Falls, ID 83401
Phone (208) 524-4818
440 E Clark St
Ste A
Pocatello, ID 83201
Phone (208) 233-1276
Organizations & group practices 2
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.
-
- Counselor
- Idaho Falls, ID
- NPI 1538611652
-
- Community Based Hospice Care Agency
- Twin Falls, ID
- NPI 1467772897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1710318480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7173 NUGGET CREEK",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834068282",
"telephone_number": "208-209-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7173 NUGGET CREEK",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834068282",
"telephone_number": "208-209-2329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-06",
"last_updated": "2024-01-18",
"certification_date": "2020-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-7346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.