Carrie Conrad, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

187024 Issued in OH

Practice address

10400 Blacklick Eastern Rd
Pickerington, OH 43147-8235

Phone

(321) 318-7086

NPI assigned

Aug 31, 2023

Reactivated

Jun 5, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1245015791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4726 WILLIAMS LAKE RD SW",
            "city": "STONE CREEK",
            "state": "OH",
            "postal_code": "438409311",
            "telephone_number": "321-318-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 BLACKLICK EASTERN RD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478235",
            "telephone_number": "321-318-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "CARRIE",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2026-06-05",
        "certification_date": "2026-02-12",
        "deactivation_date": "2026-02-18",
        "reactivation_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "187024",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "187024",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Jenkins, M.D., Inc
• Margaret Connor, LPC
• Michael S Connor, DDS
• Adriann Conover
• Amy Conrad
• Michele Cook, LMT
• Traci Lynne Cooke, LPCC
• Dora Katharine Dorcas Cooper
• Madeline Copeland, BCBA, MA
• Sherrington SN Copeland

• Addiction (Substance Use Disorder) Counselor in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.