Active NPI
John Wesley Conn
- Addiction (Substance Use Disorder) Counselor
- Columbus, MS
National Provider Identifier
1194134478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1001 Maint St
Columbus, MS 39701 - Phone
- (662) 328-9225
- Fax
- (662) 328-4735
- NPI assigned
- Aug 12, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1001 Maint St
Columbus, MS 39701
Mailing address
1032 State Hwy 50 W
West Point, MS 39773
Phone (662) 524-4347
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463011200000",
"number": "1194134478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 STATE HWY 50 W",
"city": "WEST POINT",
"state": "MS",
"postal_code": "39773",
"telephone_number": "662-524-4347",
"fax_number": "662-542-4364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAINT ST",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "39701",
"telephone_number": "662-328-9225",
"fax_number": "662-328-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONN",
"first_name": "JOHN",
"middle_name": "WESLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-12",
"last_updated": "2016-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.