Active NPI
Michael John O'Neill, MS
- Professional Counselor
- Eau Claire, WI
National Provider Identifier
1760544787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3837-125
- Practice address
- 2925 Mondovi Rd
Eau Claire, WI 54701-6141 - Phone
- (715) 832-0238
- Fax
- (715) 832-0771
- NPI assigned
- Dec 15, 2006
- Last updated
- Jun 5, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 3837-125 | WI | Primary |
Addresses
Primary practice location
2925 Mondovi Rd
Eau Claire, WI 54701-6141
Mailing address
2925 Mondovi Rd
Eau Claire, WI 54701-6141
Phone (715) 832-0238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3837-125 | Other | WI | WISCONSIN LICENSURE |
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3837-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1760544787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 MONDOVI RD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016141",
"telephone_number": "715-832-0238",
"fax_number": "715-832-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 MONDOVI RD",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016141",
"telephone_number": "715-832-0238",
"fax_number": "715-832-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "3837-125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN LICENSURE",
"identifier": "3837-125",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
- Nicole O'Donnell, APNP, FNP-BC
- Renee Mikel O'Donnell, OPTICIAN
- Michael James O'Halloran, M.D.
- Melinda Marie O'Meara
- Lisa K O'Neill, NP
- Oak Ridge Chiropractic LLC
- Oakleaf Birth Center LLC
- Oakleaf Clinics Inc (Oakleaf Clinics OB Gyn)
- Oakleaf Clinics Inc (Oakleaf Clinics, Eau Claire Medical Clinic)
- Oakleaf Clinics Inc (Oakleaf Clinics, Southside Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.