Active NPI
Sandra Jane Conner, MA, LCAC
- Addiction (Substance Use Disorder) Counselor
- Fishers, IN
National Provider Identifier
1083093157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 87000577A
- Practice address
- 14074 Trade Center Dr
Suite 142
Fishers, IN 46038-4563 - Phone
- (317) 218-7785
- NPI assigned
- May 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 87000577A | IN | Primary |
Addresses
Primary practice location
14074 Trade Center Dr
Suite 142
Fishers, IN 46038-4563
Mailing address
14074 Trade Center Dr
Suite 142
Fishers, IN 46038-4563
Phone (317) 218-7785
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87000577A | IN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432252800000",
"number": "1083093157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14074 TRADE CENTER DR",
"address_2": "SUITE 142",
"city": "FISHERS",
"state": "IN",
"postal_code": "460384563",
"telephone_number": "317-218-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14074 TRADE CENTER DR",
"address_2": "SUITE 142",
"city": "FISHERS",
"state": "IN",
"postal_code": "460384563",
"telephone_number": "317-218-7785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNER",
"first_name": "SANDRA",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "MA, LCAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IN",
"license": "87000577A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.