Kelly Leigh Conner, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC017466 Issued in PA

Practice address

1633 Philipsburg Bigler Hwy
Philipsburg, PA 16866-8112

Phone

(814) 342-5845

NPI assigned

Aug 26, 2024

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cen Clear Child Services IncGroup PAC ID 9436258860, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Cen Clear Child Services, Inc.

  • Mental Health Counselor
  • Philipsburg, PA
  • NPI 1841289733
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1184458994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 DOC WELKER RD",
            "city": "WOODLAND",
            "state": "PA",
            "postal_code": "168818609",
            "telephone_number": "814-553-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 PHILIPSBURG BIGLER HWY",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168668112",
            "telephone_number": "814-342-5845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KELLY",
        "middle_name": "LEIGH",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC017466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlee Jo Chutko, COTA/L
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clear Med Provider Corporation
• Clinical Care Liaisons, Inc.
• Roberta Lynn Connor, OTR
• Tiffany Cragan, CRNP
• Patrick Donald Dennison, PT
• Monica Deyarmin, PHARMD
• Dicks Home Care Inc

• Professional Counselor in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.