Justin M Oconnor, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39002475A Issued in IN

Practice address

9292 N Meridian St Ste 311
Indianapolis, IN 46260-1828

Phone

(317) 605-9772

NPI assigned

Mar 26, 2021

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1992382881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 KNOLL CREST CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462282159",
            "telephone_number": "317-605-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9292 N MERIDIAN ST STE 311",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601828",
            "telephone_number": "317-605-9772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5006 Knoll Crest Ct",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462282159",
            "country_code": "US",
            "telephone_number": "317-605-9772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002475A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Dental of Indiana, P.C.
• Deana Ochoa
• Cala Ochs, LCSW
• Monica Silvia Oclander, NP
• Adrianna Oconnor
• Oculofacial Plastic and Orbital Surgery, LLC
• Ayham Moukhles Odeh, MD
• Bolanle Odejide, RRT
• Ajibade Timothy Odejobi I
• Andree M Odell, NP

• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.