Auden Mary O'Connell, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1811 Issued in MN

Practice address

79 13TH Ave NE Ste 103a
Minneapolis, MN 55413-1073

Phone

(612) 509-9987

Fax

(612) 421-0036

NPI assigned

May 3, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northeast Art Therapy LLC

  • Mental Health Counselor
  • Minneapolis, MN
  • NPI 1639631708
  NPD (past) Authorized official

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1982193140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 13TH AVE NE STE 103A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131073",
            "telephone_number": "612-509-9987",
            "fax_number": "612-421-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 13TH AVE NE STE 103A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131073",
            "telephone_number": "612-509-9987",
            "fax_number": "612-421-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "AUDEN",
        "middle_name": "MARY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "1811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylyn J O'Brien
• Virginia Lee O'Brien, OT
• Gabriella Grace O'Bryan
• Patricia O'Bryant, LPCC, LADC
• Carole Ann O'Byrne, CRNA
• Jennifer O'Connell
• Katie Erin O'Connell, PT
• Katy O'Connell, RN
• Kristina O'Connell, DO
• Maria O'Connell, D.C.

• Mental Health Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Mental Health Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.