Active NPIIndividual provider

Jessica L O'Connor, LCDP

Counselor, Addiction (Substance Use Disorder) in Charlestown, Rhode Island

NPI Number1851061022
Practice location
4705 Old Post RD, Charlestown, RI 02813-1841
Fax
401-364-3310
Last updated
September 17, 2021

Jessica Lynne O'Connor is a Counselor, Addiction (Substance Use Disorder) based in Charlestown, RI. Jessica Lynne O'Connor practices in Charlestown, RI and has the professional credentials of LCDP. The NPI Number for Jessica Lynne O'Connor is 1851061022 and holds a License No. CDP00875 (RI). The current practice location address for Jessica Lynne O'Connor is 4705 Old Post RD, Charlestown, RI 02813-1841 and can be reached out via phone at 401-364-7705 and via fax at 401-364-3310.

Provider Profile Details

NPI Number
1851061022
Provider Name
Jessica Lynne O'Connor
Credential
LCDP
Provider Entity Type
Individual
Gender
Female
Address
4705 Old Post RD, Charlestown, RI 02813-1841
Phone Number
401-364-7705
Fax Number
401-364-3310
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
September 17, 2021
Last Update Date
September 17, 2021
Certification Date
September 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4705 Old Post RD
Charlestown, RI 02813-1841
Zip
02813-1841
Phone Number
401-364-7705
Fax Number
401-364-3310
Charlestown, RI 02813Get directions →

Provider Business Mailing Address Details

Address
24 Merrill Ln Unit 202
North Kingstown, RI 02852-7686
City
North Kingstown
State
RI
Zip
02852-7686
Phone Number
401-787-8330

License Information

License Number
CDP00875
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica L O'Connor, LCDP?

The NPI number of Jessica L O'Connor, LCDP is 1851061022. It was assigned on September 17, 2021 and is currently active in the NPPES registry.

What is the specialty of Jessica L O'Connor, LCDP?

Jessica L O'Connor, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00875.

Where does Jessica L O'Connor, LCDP practice?

The practice location is 4705 Old Post RD, Charlestown, RI 02813-1841. The office can be reached at 401-364-7705 (phone) or 401-364-3310 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851061022 directly on the NPPES registry website.

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