Active NPI
Nik Conroy, MA, LMHC
- Mental Health Counselor
- Puyallup, WA
National Provider Identifier
1164901716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61439364
- Practice address
- 1420 S Meridian Ste C
Puyallup, WA 98371-6914 - Phone
- (253) 363-0714
- NPI assigned
- Aug 13, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LH61439364 | WA | Primary |
Addresses
Primary practice location
1420 S Meridian Ste C
Puyallup, WA 98371-6914
Mailing address
1420 S Meridian Ste B
Puyallup, WA 98371-6914
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 |
|---|---|---|---|
| LH61439364 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1164901716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 S MERIDIAN STE B",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983716914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 S MERIDIAN STE C",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983716914",
"telephone_number": "253-363-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "NIK",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-13",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61439364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.