Active NPI
Rachel O'Connor, M.S.
- Marriage & Family Therapist
- Ormond Beach, FL
National Provider Identifier
1871060871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMT2851
- Practice address
- 533 N Nova Rd
Ormond Beach, FL 32174-4447 - Phone
- (386) 898-5003
- NPI assigned
- Oct 28, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMT2851 | FL | Primary |
Addresses
Primary practice location
533 N Nova Rd
Ormond Beach, FL 32174-4447
Mailing address
40 Lemon Twist LN
Port Orange, FL 32129-3645
Phone (740) 815-7780
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 |
|---|---|---|---|
| IMT2851 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540684800000",
"number": "1871060871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LEMON TWIST LN",
"city": "PORT ORANGE",
"state": "FL",
"postal_code": "321293645",
"telephone_number": "740-815-7780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 N NOVA RD",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321744447",
"telephone_number": "386-898-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNOR",
"first_name": "RACHEL",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-28",
"last_updated": "2018-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT2851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.