Mr Kevin James O'connell, MA is a
Counselor - Mental Health based in Durham, New Hampshire. Mr Kevin James O'connell is licensed to practice in Massachusetts (license number 3790) and his current practice location is
16 Bayview Rd, Durham, New Hampshire. He can be reached at his office (for appointments etc.) via phone at
(603) 397-5028.
NPI number for Mr Kevin James O'connell is 1588701791 and his current mailing address is 16 Bayview Road, Durham, New Hampshire. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588701791.
Healthcare Provider's Profile
| Full Name | Mr Kevin James O'connell |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 16 Bayview Rd, Durham, New Hampshire |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588701791
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Kevin James O'connell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588701791 | NPI | - | NPPES |
| 30420903 | Medicaid | NH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 457 (New Hampshire) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 769 (Massachusetts) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0918AL (Massachusetts) | Primary |
| 101YM0800X | Counselor - Mental Health | 341 (New Hampshire) | Primary |
| 101YM0800X | Counselor - Mental Health | 3790 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kevin James O'connell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Kevin James O'connell, MA
16 Bayview Road,
Durham, NH 03824-2406
Ph: (603) 397-5028 | Mr Kevin James O'connell, MA
16 Bayview Rd,
Durham, NH 03824-2406
Ph: (603) 397-5028 |
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