NPI Code Detail JSON Logo

1841957081 NPI number — ANDREA O'CONNELL L.C.P.C.

NPI Number: 1841957081
Health Care Provider/Practitioner: ANDREA O'CONNELL L.C.P.C.

Information about “1841957081” NPI (ANDREA O'CONNELL L.C.P.C.) exists in 1841957081 in HTML format HTML  |  1841957081 in plain Text format TXT  |  1841957081 in PDF (Portable Document Format) PDF  |  1841957081 in an XML format XML  formats.

NPI Number : 1841957081 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841957081",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'CONNELL",
    "FirstName": "ANDREA",
    "MiddleName": null,
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "L.C.P.C.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "O'CONNELL",
    "OtherFirstName": "ANDI",
    "OtherMiddleName": "LEIGH",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.A.,C.A.S.,NCSP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1332 LONDONTOWN BLVD",
    "SecondLineMailingAddress": "SUITE 115-P",
    "MailingAddressCityName": "ELDERSBURG",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21784-6587",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-861-0341",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1332 LONDONTOWN BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 115-P",
    "PracticeLocationAddressCityName": "ELDERSBURG",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21784-6587",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-861-0341",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/23/2021",
    "LastUpdateDate": "01/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": "LC15640",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.