MEDICARE: JENNIFER L O'NEAL LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39002336A	IN

General Provider Information

NPI Number	:	1225385651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER L O'NEAL LMHC

Provider Business Mailing Address
First Line	:	6626 E 75TH ST STE 500
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-2890
Country	:	US
Telephone Number	:	317-621-7561
Fax Number	:	317-355-6096

Provider Business Practice Location Address
First Line	:	2040 N SHADELAND AVE
Second Line	:	SUITE 200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-1711
Country	:	US
Telephone Number	:	317-355-1800
Fax Number	:	317-355-1803

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2012
Last Update Date	:	04/13/2026

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