Andrew Bryan Conrad

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2020009302 Issued in MO

Practice address

10845 Olive Blvd Ste 150
Saint Louis, MO 63141-7760

Phone

(314) 561-9757

NPI assigned

Aug 10, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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• The Center for Mindfulness and CBT, LLC

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  • NPI 1013267392
  NPD (past)
• The Center for Mindfulness and CBT, LLC

  • Cognitive & Behavioral Psychologist
  • Saint Louis, MO
  • NPI 1154241271
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1003395047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 OAKWOOD AVE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192660",
            "telephone_number": "314-374-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10845 OLIVE BLVD STE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417760",
            "telephone_number": "314-561-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "ANDREW",
        "middle_name": "BRYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020009302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haihley Colette Connors, PA IN TRAINING
• John Phillip Connors, MD
• Sunah Connors, ACNP-BC, MSN, CCRN
• Nancy L Conover, LCSW
• Conquer the Change Therapy, LLC
• Haley Conrad
• Jaylene Conrad
• Nancy Conrad, CRNA
• Beth A Conrardy, MD
• Rebecca Theresa Conrey

• Professional Counselor in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.