John Brent Conway, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13698 Issued in TX

Practice address

500 Broad St
Wichita Falls, TX 76301-3109

Phone

(940) 397-3143

NPI assigned

Oct 28, 2021

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

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Helen Farabee Centers

  • Community/Behavioral Health Agency
  • Wichita Falls, TX
  • NPI 1457479511

  Mental Health

  NPD
• Helen Farabee Centers

  • Case Management Agency
  • Wichita Falls, TX
  • NPI 1093833154
  NPD (past)

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1346904067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROAD ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763013109",
            "telephone_number": "940-397-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROAD ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763013109",
            "telephone_number": "940-397-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "JOHN",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Aira Tismo Coluso
• Compass Hospice, Inc.
• Alexander Compton
• Jena Condron, CRNA
• Katherine Elizabeth Conley
• Jane Cook, LVN
• Dianne Margaret Cooper, M.D.
• Mistie Dawn Coovert, RN, BSN
• Core Health Institute PLLC
• Sara Corson

• Mental Health Counselor in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.

Verify at the official NPI Registry.