Jessica Rae Conrad, LPC
Individual provider Active NPI Mental Health Counselor · New Freedom, PA
NPI 1093483273 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1093483273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- PC013195 (PA)
- Practice address
- 781 Far Hills Dr
New Freedom, PA 17349-8447 - Phone
- (717) 812-2560
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
781 Far Hills Dr
New Freedom, PA 17349-8447
Phone (717) 812-2560
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240305001734 | PA | Practitioner - Mental Health Counselor | 2264880038 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current |
Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current |
Accepting new patients |
Locations
6375 Chambersburg Rd
Fayetteville, PA 17222
Phone (717) 352-2721
781 Far Hills Dr
New Freedom, PA 17349
Phone (717) 812-2560
3550 Concord Rd
York, PA 17402
Phone (717) 851-1546
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC013195 | PA | Yes |
Addresses
Primary practice location
781 Far Hills Dr
New Freedom, PA 17349-8447
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other providers in New Freedom, PA
- Amara Zubair Burney
- Jennifer J Carman
- Laurie Catalfo
- Erica Rae Cerutti
- Patricia Chen
- Consonant Healing Medical Associates of PA LLC
- Cool-Ish Counseling Services, LLC
- Conor Steven Custer
- Jessica Lynn De Leon
- Crystal Derose
All providers in New Freedom, PA · Mental Health Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.