Individual provider Active NPI

Terrence O'Connor, M.A., MFT

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1972523462
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC37696 Issued in CA
Practice address
1090 Sunnycrest Ave
Ventura, CA 93003-1209
Phone
(310) 396-4942
Fax
(805) 642-3424
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC37696 CA Primary

Addresses

Primary practice location

1090 Sunnycrest Ave
Ventura, CA 93003-1209

Mailing address

1090 Sunnycrest Ave
Ventura, CA 93003-1209
Phone (310) 396-4942

Other names 1

  • Ms. Terri O'Connor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 21, 2024 through Jan 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MFC37696CAMDMarriage & Family Therapist
37696CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972523462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 SUNNYCREST AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031209",
            "telephone_number": "310-396-4942",
            "fax_number": "805-642-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 SUNNYCREST AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031209",
            "telephone_number": "310-396-4942",
            "fax_number": "805-642-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "TERRENCE",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC37696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "O'CONNOR",
            "prefix": "MS.",
            "credential": "M.A., MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.