Lise G. O'Neill, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

000529 Issued in CT

Practice address

Manchester Memorial Hospital
71 Haynes St
Manchester, CT 06042

Phone

(860) 533-3434

Fax

(860) 647-6829

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prospect Manchester Hospital IncGroup PAC ID 9234423625, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Prospect Manchester Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1316394638
  Medicare reassignment Care Compare group NPD
• Manchester Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1881564664
  Medicare reassignment
• Prospect Rockville Hospital, Inc.

  • General Acute Care Hospital
  • Vernon, CT
  • NPI 1205283538
  Medicare reassignment
• Prospect Manchester Hospital, Inc.

  • Health Educator
  • South Windsor, CT
  • NPI 1821695222
  NPD
• Eastern Connecticut Medical Professionals Foundation, Inc

  dba Eastern Orthopeadics and Sports Medicine, PC

  • Specialist
  • South Windsor, CT
  • NPI 1497864516
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1942350467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 NORTHFIELD ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060422335",
            "telephone_number": "860-646-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANCHESTER MEMORIAL HOSPITAL",
            "address_2": "71 HAYNES ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06042",
            "telephone_number": "860-533-3434",
            "fax_number": "860-647-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "LISE",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "000529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004025177",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W O'Brien, MD
• Timothy A O'Brien
• Rachel P O'Coin, LCSW
• Jeremiah N O'Dwyer
• Dennis G O'Neill, M.D.
• Marilyn Anne O'Rourke, A.P.R.N.
• Emma A O'Shea
• Oak North
• Kimberly Oates
• Paul Matthew Oberle, PT

• Professional Counselor in Manchester, CT
• Providers in Manchester, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.