Christopher Conway, LADC 2

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

432 Dudley St Ste 211
Roxbury, MA 02119-2763

Phone

(617) 671-6918

NPI assigned

Jul 30, 2013

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

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.

• Out for Good, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Milton, MA
  • NPI 1447741004
  NPD Authorized official

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1083046205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 DUDLEY ST STE 211",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192763",
            "telephone_number": "617-671-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 DUDLEY ST STE 211",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192763",
            "telephone_number": "617-671-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "CHRISTOPHER",
        "credential": "LADC 2",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniela Connelly, MD
• Gabrielle Francis Conrad-Amlicke, MSW
• Amanda Rae Conroy
• Krystyna Yvonne Constantino
• Lauren Elizabeth Conway-Russell, RN
• Ashley Correia
• Cindy Correia
• Samantha Corron
• Katherine Anne Corteselli, MA
• Jennifer Cotard

• Addiction (Substance Use Disorder) Counselor in Roxbury, MA
• Providers in Roxbury, MA by specialty
• Addiction (Substance Use Disorder) Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.