Connor Miles Price

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701012416 Issued in VA

Practice address

316 Brook Park PL
Forest, VA 24551-2766

Phone

(434) 381-0894

NPI assigned

Apr 19, 2023

Sex

Male

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 VA

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyndhurst Counseling Center,LLCGroup PAC ID 2264979103, 19 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.

• Wyndhurst Counseling Center, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, VA
  • NPI 1891859864
  Medicare reassignment Care Compare group NPD
• Impact Living Services

  • Professional Counselor
  • Forest, VA
  • NPI 1487054342
  NPD (past)
• Taylored Counseling Services LLC

  • Counselor
  • Lynchburg, VA
  • NPI 1023888484
  NPD (past)

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1285321448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 ROCKWELL RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245043706",
            "telephone_number": "434-382-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 BROOK PARK PL",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245512766",
            "telephone_number": "434-381-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "CONNOR",
        "middle_name": "MILES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Ponke, MD
• Power & Grace Physical Therapy LLC
• Marissa A Pressley, DPT, PT
• Danielle Preston
• Daniel Preusser, EDS, MSED, ATC, LAT
• Michael G Prillaman, RPH
• William Norman Prillaman II, DDS
• David Christopher Prinzbach, RPH
• Christina Putney, DPT
• Aaron Quinn, MD

• Mental Health Counselor in Forest, VA
• Providers in Forest, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.