Individual provider Active NPI

Janelle Lee Burrill-O'Donnell, J.D., LCSW

  • Mental Health Counselor
  • Sacramento, CA
National Provider Identifier
1780833814
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS 16216 Issued in CA
Practice address
915 University Ave
Sacramento, CA 95825-6725
Phone
(916) 646-6500
Fax
(916) 646-1176
NPI assigned
Sep 12, 2008
Last updated
Sep 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCS 16216 CA Primary

Addresses

Primary practice location

915 University Ave
Sacramento, CA 95825-6725

Mailing address

1107 Sand Bar Cir
Carmichael, CA 95608-6139
Phone (916) 485-7787

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
Juris Doctor

State licenses

LicenseStateTypeSpecialty
LCS 16216CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221177600000",
    "number": "1780833814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SAND BAR CIR",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086139",
            "telephone_number": "916-485-7787",
            "fax_number": "916-485-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 UNIVERSITY AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256725",
            "telephone_number": "916-646-6500",
            "fax_number": "916-646-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRILL-O'DONNELL",
        "first_name": "JANELLE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "J.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS 16216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.