Active NPI
Barbara Phyllis Conrad, M.S.
- Mental Health Counselor
- Wilmington, DE
National Provider Identifier
1194735548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0000268
- Practice address
- 1601 Concord Pike
Suite 92-100
Wilmington, DE 19803-3612 - Phone
- (610) 368-0324
- Fax
- (302) 655-4027
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC-0000268 | DE | Primary |
Addresses
Primary practice location
1601 Concord Pike
Suite 92-100
Wilmington, DE 19803-3612
Mailing address
1601 Concord Pike
Suite 92-100
Wilmington, DE 19803-3612
Phone (610) 368-0324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC-0000268 | DE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194735548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CONCORD PIKE",
"address_2": "SUITE 92-100",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033612",
"telephone_number": "610-368-0324",
"fax_number": "302-655-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 CONCORD PIKE",
"address_2": "SUITE 92-100",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198033612",
"telephone_number": "610-368-0324",
"fax_number": "302-655-4027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "BARBARA",
"middle_name": "PHYLLIS",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0000268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.