KELLY O'DONNELL (NPI# 1174999635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174999635 |
| Entity Type | Individual |
| Full Name | KELLY O'DONNELL |
| Practice Address |
3705 Latrobe Dr Suite 340 Charlotte NC 28211-4824 |
| Practice Telephone | 7043643989 |
| Mailing Telephone | 7043643989 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-21515 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LCAS-21515 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316251689 | Kelly N O'donnell | Speech-Language Pathologist | 5831 S. Rutherford Ave., Chicago, IL 60638 | 2010-07-29 |
| 1508495912 | Kelly O'donnell | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-04-07 |
| 1114551397 | Kelly O'donnell | Licensed Practical Nurse | 1 Mount Mckinley Ave, Farmingville, NY 11738-2107 | 2020-02-27 |
| 1790249464 | Kelly Marie O'donnell | Social Worker | 2695 E Industrial Dr, Flagstaff, AZ 86004-6109 | 2019-01-28 |
| 1689156143 | Kelly O'donnell | Social Worker | 25 Railroad Sq, Haverhill, MA 01832-5721 | 2018-08-31 |
| 1487101242 | Kelly O'donnell | Specialist/Technologist | 1441 Schoenersville Rd, Bethlehem, PA 18018-1864 | 2016-09-08 |
| 1215388822 | Kelly O'donnell | Counselor | 42 Delsea Dr S, Glassboro, NJ 08028-2621 | 2016-06-24 |
| 1831317759 | Kelly Kay O'donnell | Occupational Therapist | 1201 Park St, Bellevue, IA 52031-1911 | 2007-04-23 |
| 1619997772 | Kelly O'donnell | Anesthesiology | 166 Defense Hwy, Suite 101, Annapolis, MD 21401-8919 | 2006-07-20 |
| Street Address |
3705 LATROBE DR SUITE 340 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-4824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578698049 | Family First Community Services LLC | Case Management | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2007-02-23 |
| 1972040111 | Alexandra Silber | Counselor | 3705 Latrobe Dr, 340, Charlotte, NC 28211-4824 | 2017-01-26 |
| 1083159321 | Blair Baucom | Counselor | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2016-12-22 |
| 1336696293 | Heather Lynn Brown | Social Worker | 3705 Latrobe Dr, Ste 340, Charlotte, NC 28211-4824 | 2016-09-07 |
| 1790161057 | Susan Wooden | Counselor | 3705 Latrobe Dr, #304, Charlotte, NC 28211-4824 | 2015-08-09 |
| 1366788432 | Esther Waycam Mfonyam | Marriage & Family Therapist | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2012-12-18 |
| 1417204983 | Rolanda Mitchell | Counselor | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2012-08-14 |
| 1891091641 | Family First Community Services LLC | Case Management | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2011-01-26 |
| 1396046249 | Paulette Culbertson Hurst | Counselor | 3705 Latrobe Dr, Suite 340, Charlotte, NC 28211-4824 | 2010-11-09 |
| 1063737948 | Yaoqing Huang | Acupuncturist | 3705 Latrobe Dr, Suite 320, Charlotte, NC 28211-4824 | 2010-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574829 | Steve Hanna Interventions | Counselor | 8101 Providence Court Ln Apt 101, Charlotte, NC 28270-2385 | 2020-10-01 |
| 1164036976 | Diamond Corbin | Counselor | 3553 N Sharon Amity Rd Ste 200, Charlotte, NC 28205-8992 | 2020-08-31 |
| 1366053035 | Triumph Therapeutic Services Pllc | Counselor | 620 Parkaire Ln Apt 1024, Charlotte, NC 28217-2492 | 2020-08-14 |
| 1407472582 | Sarah Ann Grant | Counselor | 1617 Fountain Vw, Charlotte, NC 28203-5829 | 2020-06-24 |
| 1164046728 | Kevin Thomas Egroff | Counselor | 2134 Augusta St, Charlotte, NC 28216-4603 | 2020-05-29 |
| 1861039729 | No Bounds Care Inc of Nc | Counselor | 615 E 6th St Ste 102, Charlotte, NC 28202-2918 | 2019-12-10 |
| 1174168850 | Stress Management, LLC | Counselor | 8915 Legacy Park Dr Apt C, Charlotte, NC 28269-9622 | 2019-11-17 |
| 1154964062 | Setfreesoldiers, Inc | Counselor | 4900 Providence Rd, Charlotte, NC 28226-5848 | 2019-10-23 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1518508340 | Modern Era Counseling, Pllc | Counselor | 5200 Park Rd Ste 218-d, Charlotte, NC 28209-3650 | 2019-10-02 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on KELLY O'DONNELL.
| 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.