Laura J Condon, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

39617 Issued in TX

Practice address

1608 Avenue J
Huntsville, TX 77340-5229

Phone

(210) 326-0979

NPI assigned

May 22, 2017

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

Other identifiers 1

Other names 1

• Laura J Condon Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Clinical Psychologist

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Family Care Center LLC,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1427786482
  Medicare reassignment Care Compare group NPD
• Family Care Center, LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1598535288

  Mental Health

  NPD
• Carol Albert

  • Community/Behavioral Health Agency
  • San Antonio, TX
  • NPI 1538238662
  NPD (past)
• Jewish Family Service of San Antonio Texas Inc.

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1679606701
  NPD (past)

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1124555156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 NW MILITARY HWY # 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311897",
            "telephone_number": "210-302-6920",
            "fax_number": "210-302-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 AVENUE J",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405229",
            "telephone_number": "210-326-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "39617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085422602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CONDON",
            "middle_name": "J",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas C Cole Jr., MD
• Jill Page Coleman, M.D.
• Roger Neal Collins, RPH
• Community Pathology Associates of Texas
• Henry Lee Conaway Jr., DDS
• Mary Alice Conroy, PH.D,
• Erika Cook
• Copeland Family Dentistry, PLLC
• Cornerstone Caregiving West LLC
• Cornerstone Mental Health Associates, Inc

• Counseling Psychologist in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.