Active NPI
Chris Allen Condra, M.S.
- Professional Counselor
- Independence, MO
National Provider Identifier
1174628465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000308
- Practice address
- 4224 S Hocker Dr
Independence, MO 64055-4754 - Phone
- (816) 795-0004
- Fax
- (816) 228-4943
- NPI assigned
- Sep 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000308 | MO | Primary |
| Counseling Psychologist | 103TC1900X | 01317 | MO |
Addresses
Primary practice location
4224 S Hocker Dr
Independence, MO 64055-4754
Mailing address
2104 NW Parker CT
Blue Springs, MO 64015-1581
Phone (816) 228-4943
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01317 | MO | MD | Counseling Psychologist |
| 000308 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1174628465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 NW PARKER CT",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640151581",
"telephone_number": "816-228-4943",
"fax_number": "816-228-4943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4224 S HOCKER DR",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640554754",
"telephone_number": "816-795-0004",
"fax_number": "816-228-4943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONDRA",
"first_name": "CHRIS",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-13",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "000308",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "01317",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.