MR. KEVIN JAMES O'CONNELL MA. NPI 1588701791

NPI Information

NPI: 1588701791
Provider Name: MR. KEVIN JAMES O'CONNELL, MA.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
16 BAYVIEW RD
DURHAM, NH
ZIP 03824
Phone: (603) 397-5028
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MR. Kevin James O'connell, MA. is an addiction (substance use disorder) counselor in Durham, NH. MR. Kevin James O'connell, MA. NPI is 1588701791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16 BAYVIEW RD
DURHAM, NH
ZIP 03824-406
Phone: (603) 397-5028
Fax: (603) 889-9639

The enumeration date for this NPI number is 1/30/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	457	NEW HAMPSHIRE	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	769	MASSACHUSETTS	X
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0918AL	MASSACHUSETTS	X
4	101YM0800X	Counselor	Mental Health	341	NEW HAMPSHIRE	X
5	101YM0800X	Counselor	Mental Health	3790	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30420903	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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