Individual provider Active NPI

John Scott Conrad

  • Marriage & Family Therapist
  • Edmond, OK
National Provider Identifier
1144707142
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
749 Issued in OK
Practice address
15708 N Pennsylvania Ave Ste 3-D
Edmond, OK 73013-7328
Phone
(405) 651-3088
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 749 OK Primary

Addresses

Primary practice location

15708 N Pennsylvania Ave Ste 3-D
Edmond, OK 73013-7328

Mailing address

5500 NW 112TH St
Oklahoma City, OK 73162-3737
Phone (405) 651-3088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20251023002242 OK Practitioner - Marriage and Family Therapist 3375031099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 E 33Rd St
Suite B1
Edmond, OK 73013-6305

5500 NW 112TH St
Oklahoma City, OK 73162-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
749OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Redeemed Counseling PLLC Mental Health CurrentSince Oct 8, 2025 Accepting new patients

Locations

15708 N Pennsylvania Ave
Ste 3
Edmond, OK 73013
Phone (405) 651-3088

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1144707142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NW 112TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731623737",
            "telephone_number": "405-651-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15708 N PENNSYLVANIA AVE STE 3-D",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730137328",
            "telephone_number": "405-651-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.