NPIMap

Individual provider Active NPI

Sandra O'Neill, LCPC

  • Professional Counselor
  • Annapolis, MD
National Provider Identifier
1992823454
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC1985 Issued in MD
Practice address
175 Admiral Cochrane Dr
Suite 100
Annapolis, MD 21401-7316
Phone
(410) 570-0888
NPI assigned
Mar 26, 2007
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 LC1985 MD Primary

Addresses

Primary practice location

175 Admiral Cochrane Dr
Suite 100
Annapolis, MD 21401-7316

Mailing address

175 Admiral Cochrane Dr
Suite 100
Annapolis, MD 21401-7316
Phone (410) 570-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260422001315 DC Practitioner - Mental Health Counselor 4880924927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9707 Key W Ave
Suite 100
Rockville, MD 20850-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC1985MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis the Mental Health Center, LLC PastSince Jun 1, 2023 Accepting new patients
Choptank Community Health System Inc PastSince May 23, 2019 Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Choptank Community Health System IncCambridge, MD, CCN 211821 Federally qualified health center Corporate Director May 23, 2019
Choptank Community Health System IncGoldsboro, MD, CCN 211801 Federally qualified health center Corporate Director May 23, 2019
Choptank Community Health System IncEaston, MD, CCN 211909 Federally qualified health center Corporate Director May 23, 2019
Choptank Community Health System IncTilghman, MD, CCN 211919 Federally qualified health center Corporate Director May 23, 2019
Choptank Community Health System IncDenton, MD, CCN 211929 Federally qualified health center Corporate Director May 23, 2019
Choptank Community Health System IncRock Hall, MD, CCN 211939 Federally qualified health center Corporate Director May 23, 2019
Chestertown Health CenterChestertown, MD, CCN 211940 Federally qualified health center Corporate Director May 23, 2019
Choptank Community Health System IncChestertown, MD, CCN 211073 Federally qualified health center Corporate Director May 23, 2019
Federalsburg Health CenterFederalsburg, MD, CCN 801006 Federally qualified health center Corporate Director May 23, 2019

Owned or controlled facilities with NPI records 10

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1992823454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ADMIRAL COCHRANE DR",
            "address_2": "SUITE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017316",
            "telephone_number": "410-570-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ADMIRAL COCHRANE DR",
            "address_2": "SUITE 100",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017316",
            "telephone_number": "410-570-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.