Monique Anchelle Conway

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-23045 Issued in NC

Practice address

800 N Mangum St Ste 400
Durham, NC 27701-2260

Phone

(919) 683-1607

Fax

(919) 683-1790

NPI assigned

Dec 17, 2018

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Baart Community Healthcare

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Durham, NC
  • NPI 1376075556
  NPD (past)

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1366913345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 QUAIL HIGH BLVD",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607024",
            "telephone_number": "301-704-7618",
            "fax_number": "919-683-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MANGUM ST STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012260",
            "telephone_number": "919-683-1607",
            "fax_number": "919-683-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4218 Quail High Blvd",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275607024",
            "country_code": "US",
            "telephone_number": "301-704-7618",
            "fax_number": "919-683-1790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "MONIQUE",
        "middle_name": "ANCHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Marie Contreras
• Johanna Alexandra Contreras, MSW, LCSWA
• Converge Therapy
• Anikke M Conway, MD
• Benjamin J Conway, MD
• Cindy Cook-Martin, CRNA
• Amy E Cook, PT
• Anita Cook, NP
• Ariane Cook, PA-C
• Chad E Cook, PT

• Addiction (Substance Use Disorder) Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.