Sierra Conyers, LGPC
Individual provider Active NPI Professional Counselor · Aberdeen, MD
NPI 1245944818 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1245944818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LGP13394 (MD)
- Practice address
- 135 N Parke St
Aberdeen, MD 21001-2428 - Phone
- (443) 625-1600
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP13394 | MD | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LGP13394 | MD | Yes |
Addresses
Primary practice location
135 N Parke St
Aberdeen, MD 21001-2428
Mailing address
135 N Parke St
Aberdeen, MD 21001-2428
Phone (443) 625-1600
NPI Registry JSON
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1245944818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 N PARKE ST",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012428",
"telephone_number": "443-625-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N PARKE ST",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012428",
"telephone_number": "443-625-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONYERS",
"first_name": "SIERRA",
"credential": "LGPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LGP13394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.