Individual provider Active NPI

Elizabeth Anne O'Donnell, PHD

  • Mental Health Counselor
  • Westlake, OH
National Provider Identifier
1730365891
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E 0003905 Issued in OH
Practice address
24629 Detroit Rd
#8
Westlake, OH 44145-2538
Phone
(440) 835-0664
Fax
(440) 835-0601
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E 0003905 OH Primary
Physical Therapist 225100000X 009605 OH
Physical Therapist 225100000X 4413 - 024 WI

Addresses

Primary practice location

24629 Detroit Rd
#8
Westlake, OH 44145-2538

Mailing address

24629 Detroit Rd
#8
Westlake, OH 44145-2538
Phone (440) 835-0664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E 0003905OHMDMental Health Counselor
009605OHMDPhysical Therapist
4413 - 024WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1730365891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24629 DETROIT RD",
            "address_2": "#8",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452538",
            "telephone_number": "440-835-0664",
            "fax_number": "440-835-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24629 DETROIT RD",
            "address_2": "#8",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452538",
            "telephone_number": "440-835-0664",
            "fax_number": "440-835-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E 0003905",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "009605",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "4413 - 024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.