Active NPI
Lorraine O'Neill, LLC
Doing business as Roots of Change
- Professional Counselor
- Pawhuska, OK
National Provider Identifier
1710737622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LORRAINE O'NEILL, LLC
- Doing business as
- Roots of Change
- Practice address
- 516 Leahy Ave
Pawhuska, OK 74056-5210 - Phone
- (580) 761-2972
- NPI assigned
- Mar 25, 2024
- Last updated
- Mar 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lorraine A O'Neill, LPC
- Title
- Executive Director
- Phone
- (580) 761-2972
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
516 Leahy Ave
Pawhuska, OK 74056-5210
Mailing address
472 85TH Rd
Ponca City, OK 74604-6675
Phone (580) 761-2972
Other names 1
- Roots of Change
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Case Manager/Care Coordinator
- Ponca City, OK
- NPI 1568767614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1710737622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 85TH RD",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "746046675",
"telephone_number": "580-761-2972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 LEAHY AVE",
"city": "PAWHUSKA",
"state": "OK",
"postal_code": "740565210",
"telephone_number": "580-761-2972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORRAINE O'NEILL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-24",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "LORRAINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "580-761-2972",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Roots of Change",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pawhuska, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.