Individual provider Active NPI

Melissa Christne O'Neill, M.S,, LPC

  • Professional Counselor
  • Media, PA
National Provider Identifier
1922304930
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005110 Issued in PA
Practice address
20 S Olive St Ste 202a
Media, PA 19063-3228
Phone
(484) 574-1041
NPI assigned
Feb 9, 2011
Last updated
Apr 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC005110 PA Primary

Addresses

Primary practice location

20 S Olive St Ste 202a
Media, PA 19063-3228

Mailing address

20 S Olive St Ste 202a
Media, PA 19063-3228
Phone (484) 574-1041

Other identifiers 1

IdentifierTypeStateIssuer
PC005110OtherPALICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@collectivecounselingsolutions.com

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

LicenseStateTypeSpecialty
PC005110PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rosetree Center for Healthy Sexuality Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1922304930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S OLIVE ST STE 202A",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633228",
            "telephone_number": "484-574-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S OLIVE ST STE 202A",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633228",
            "telephone_number": "484-574-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "MELISSA",
        "middle_name": "CHRISTNE",
        "name_prefix": "Mrs.",
        "credential": "M.S,, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PC005110",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@collectivecounselingsolutions.com",
            "affiliation": "N",
            "address_1": "22 south street",
            "city": "Newtown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.