Active NPI
Judith Elizabeth Conrad, MA LPC
- Professional Counselor
- South Charleston, WV
National Provider Identifier
1003971334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 887
- Practice address
- Box 405L
Route 8
South Charleston, WV 25309 - Phone
- (304) 744-5000
- Fax
- (304) 744-6677
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 887 | WV | Primary |
Addresses
Primary practice location
Box 405L
Route 8
South Charleston, WV 25309
Mailing address
PO Box 58275
Charleston, WV 25358
Phone (304) 744-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003971334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58275",
"city": "CHARLESTON",
"state": "WV",
"postal_code": "25358",
"telephone_number": "304-744-5000",
"fax_number": "304-744-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOX 405L",
"address_2": "ROUTE 8",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "25309",
"telephone_number": "304-744-5000",
"fax_number": "304-744-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "JUDITH",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.