Therese Moran Conlon

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5216 Issued in MD

Practice address

1011 Main St
Hampstead, MD 21074-2230

Phone

(410) 552-9007

Fax

(410) 552-9881

NPI assigned

Apr 9, 2016

Sex

Female

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

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cedar Ridge Counseling Centers, LLCGroup PAC ID 4981649738, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cedar Ridge Counseling Centers LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eldersburg, MD
  • NPI 1932103926
  Medicare reassignment Care Compare group NPD
• Balanced Resilience Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Eldersburg, MD
  • NPI 1669337226
  NPD
• North Carroll Counseling & Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hampstead, MD
  • NPI 1780166538
  NPD (past)
• North Carroll Counseling Center

  • Mental Health Counselor
  • Hampstead, MD
  • NPI 1689847311
  NPD (past)

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460505600000",
    "number": "1013371616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 JAY RD",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217846115",
            "telephone_number": "410-552-9007",
            "fax_number": "410-552-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAIN ST",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210742230",
            "telephone_number": "410-552-9007",
            "fax_number": "410-552-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN CONLON",
        "first_name": "THERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina L Meyer, LMSW
• Vilija Mickute, DDS
• Elizabeth R Miller, RD, LDN
• MNR Industries LLC
• Terrence Patrick Moore, LMSW
• Robert Bradley Mountcastle, ATC
• Rebecca Ann Nash, NP
• Pamela Nazarov
• Olivia Nelson, LGPC
• New Era Clinic LLC

• Professional Counselor in Hampstead, MD
• Providers in Hampstead, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.