Larry Conner Ma LPC PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C0099 Issued in OR

Legal business name

LARRY CONNER MA LPC PC

Practice address

2304 E Burnside St Ste 106
Portland, OR 97214-1689

Phone

(503) 252-1050

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence S. Conner, MA LPC

Title

President

Phone

(503) 525-1050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 26, 2024 through Mar 26, 2028

Medicare enrollment (NPD)

Not enrolled

Locations

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366658130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 N CURTIS AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972174061",
            "telephone_number": "503-525-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E BURNSIDE ST STE 106",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141689",
            "telephone_number": "503-252-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY CONNER MA LPC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-525-1050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C0099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique D Laron, M.D.
• Valerie Larosa, N.D.
• Paige Bradley Larrabee, MD
• Alec Pascual Larraza
• Dakin Larro
• Larry Guerin MD
• Larry R. Thomas MD LLC
• Larry Thornton-Jones, LCSW, PC
• Larsen Sanchez Psychology, LLC (Portland Mental Health & Wellness)
• Adrian Larsen Sanchez, PSY.D.

• Professional Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.