IndividualActive
Timothy O'Connor, BA.,CAC I I
NPI 1972909463 · Addiction (Substance Use Disorder) Counselor · Monument, CO
Provider details
- NPI number
- 1972909463
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- BA.,CAC I I
- Sex
- Male
- Sole proprietor
- Yes
- License
- ACB.0008017 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3065 Mt. Herman Rd.
Monument, CO 80132
Phone: (719) 322-7175
Street-level locationGet directions
Mailing address
3065 Mount Herman Rd
Monument, CO 80132-8196
Registry dates
- Enumerated
- 2014-11-10
- Last updated
- 2017-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.