Organization Active NPI

Lorraine O'Neill, LLC

Doing business as Roots of Change

  • Professional Counselor
  • Pawhuska, OK
National Provider Identifier
1710737622
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Lorraine A O'Neill, LPCNPI 1568767614
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.