Sally A. O'Donnell, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

L4221 Issued in OR

Practice address

541 Willamette St
Suite 208C
Eugene, OR 97401-2612

Phone

(541) 687-5635

Fax

(541) 686-3340

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1851316392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 WILLAMETTE ST",
            "address_2": "SUITE 208C",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012612",
            "telephone_number": "541-687-5635",
            "fax_number": "541-686-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 WILLAMETTE ST",
            "address_2": "SUITE 208C",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012612",
            "telephone_number": "541-687-5635",
            "fax_number": "541-686-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "SALLY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L4221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1366747",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "4413",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Glenn O'Connell
• Kathleen L O'Connor
• Kristin Marie Althea O'Connor
• Natalie Elizabeth O'Dell, MS
• Frederick Robert O'Donnell, DDS
• Kimberly Shawn O'Grady, OTR/L
• Stephan O'Hair
• Amanda Margaret O'Hala, PA-C
• Joseph David O'Hala, PA-C
• Mark A. O'Hara, D.D.S

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.