JASON O'CONNER (NPI# 1174003800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174003800 |
| Entity Type | Individual |
| Full Name | JASON O'CONNER |
| Credential | MS |
| Practice Address |
1315 13th Ave Se Decatur AL 35601 |
| Mailing Address |
1316 Somerville Rd Se Ste 1 Decatur AL 35601-4309 |
| Practice Telephone | 2562607306 |
| Practice Fax Number | 2563556092 |
| Mailing Telephone | 2562607361 |
| Mailing Fax Number | 2563556092 |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4040 Memorial Pkwy Sw, Huntsville, AL 358024364 | 2565331970 |
| Street Address |
1315 13TH AVE SE |
| City | DECATUR |
| State | AL |
| Zip Code | 35601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376636241 | Anthony L Wilson | Counselor | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2006-10-02 |
| 1629677943 | Shaquisha S Franklin | Counselor | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2020-10-19 |
| 1902421209 | Jasmine Harden | Case Manager/Care Coordinator | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2020-06-11 |
| 1164042065 | Nabeehah Majid | Social Worker | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2020-04-21 |
| 1356978274 | Fernell J Colllins | Counselor | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2020-03-23 |
| 1114575842 | Shaqoya S Clay | Case Manager/Care Coordinator | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2019-08-27 |
| 1225597354 | Sherri Lashaye Gibson | Counselor | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2019-03-18 |
| 1235694944 | Megan Danielle Evans | Case Manager/Care Coordinator | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2019-02-06 |
| 1285108100 | Latasha Tinia Woolcock | Counselor | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2019-01-14 |
| 1619459591 | Emily Elisabeth Tester | Counselor | 1315 13th Ave Se, Decatur, AL 35601-4308 | 2018-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1063950319 | Samantha Elizabeth Pickett | Nurse Practitioner | 1115 Beltline Rd Se, Ste 400, Decatur, AL 35601 | 2017-02-07 |
| 1497208250 | Beronica Goodwin | Home Health Aide | 1102b Suite #2 4th Ave Se, Decatur, AL 35601 | 2016-07-28 |
| 1770957177 | Xochitl Dupre | Obstetrics & Gynecology | 1874 Beltline Road Sw, Suite 105, Decatur, AL 35601 | 2015-11-23 |
| 1104224708 | River City Psychiatry, Inc. | Community/Behavioral Health | 115 Johnston Street, Se, Suite 202, Decatur, AL 35601 | 2014-12-12 |
| 1760882690 | Derrick Aaron Randolph | Registered Nurse | 1207 7th St S.e., Decatur/morgan Hospital - Parkway Campus, Decatur, GA 35601 | 2014-08-28 |
| 1427465434 | Martha Read | Family Medicine | 2208 Danville Rd Sw Ste A, Decatur, AL 35601 | 2014-07-22 |
| 1205242948 | Pure Heart Home Care of Alabama, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 107 B 14th Street Sw, Decatur, AL 35601 | 2014-07-02 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1366794711 | Complete Dental Decatur LLC | Dentist | 1241 Point Mallard Parkway, Suite. 105, Decatur, AL 35601 | 2012-10-10 |
| Find all providers in zip 35601 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244293 | Agape Change Family Counseling & Consultation Services LLC | Counselor | 2128 Willamette Way, Decatur, GA 30032-6036 | 2020-08-04 |
| 1366082356 | Morgan Tudor | Counselor | 433 W Pershing Rd, Decatur, IL 62526-3238 | 2020-01-08 |
| 1083171896 | William Dale Cottrell II | Counselor | 315 W Ponce De Leon Ave Ste 1055, Decatur, GA 30030-2412 | 2019-02-28 |
| 1376000679 | Monica Dawn Ross | Counselor | 106 Lee St. Ne, Suite C, Decatur, AL 35601 | 2019-02-23 |
| 1528538048 | Beatrice Irma Richie | Counselor | 117glen Hollow Circle Apartment #4, Decatur, GA 30034-3003 | 2018-11-27 |
| 1912473711 | Kameshia Hawkins | Counselor | 3011 Rainbow Dr Ste B, Decatur, GA 30034-1643 | 2018-10-18 |
| 1467942706 | Marla Singleton | Counselor | 235 E Ponce De Leon Ave Ste 108, Decatur, GA 30030-3412 | 2018-05-11 |
| 1306348321 | Maureen P Nolan | Counselor | 315 W Ponce De Leon Ave Ste 540, Decatur, GA 30030-2448 | 2018-03-06 |
| 1619493806 | Camille Hankins | Counselor | 2545 Lawrenceville Hwy Ste 150, Decatur, GA 30033-3240 | 2017-08-18 |
| 1609390319 | Subrena Ann Glenn | Counselor | 3745 Brookside Pkwy, Decatur, GA 30034-5714 | 2017-08-03 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.