Individual provider Active NPI

James Michael Conrad

  • Professional Counselor
  • Wintersville, OH
National Provider Identifier
1366946998
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303360 Issued in OH
Practice address
734 Main St
Wintersville, OH 43953-4800
Phone
(740) 214-0440
Fax
(724) 972-4627
NPI assigned
Mar 20, 2018
Last updated
May 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2303360 OH Primary

Addresses

Primary practice location

734 Main St
Wintersville, OH 43953-4800

Mailing address

101 Pembroke CT
Greensburg, PA 15601-6404
Phone (724) 396-1510

Other practice location 1

964 N Market St
Lisbon, OH 44432-9363
Phone (330) 424-1468

Other practice location 2

1010 N 6th Ave
Steubenville, OH 43952-1846
Phone (330) 424-1468

Other practice location 3

129 School St
Steubenville, OH 43952-7063
Phone (740) 278-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240319004036 OH Practitioner - Mental Health Counselor 0840637328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard HoffmanGroup PAC ID 7618137522, 54 clinicians

Practice addresses (Care Compare)

129 School St
Steubenville, OH 43952-7063
Phone (724) 396-1510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2303360OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Associates of Western Pennsylvania CurrentSince Feb 17, 2024 Accepting new patients
Richard Hoffman Professional CurrentSince Feb 17, 2024 Accepting new patients
Family Recovery Center Past Accepting new patients
Family Recovery Center PastSince Apr 1, 2016 Accepting new patients

Locations

129 Township Road 281A
Steubenville, OH 43952
Phone (740) 278-7990

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1366946998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PEMBROKE CT",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156016404",
            "telephone_number": "724-396-1510",
            "fax_number": "724-972-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 MAIN ST",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439534800",
            "telephone_number": "740-214-0440",
            "fax_number": "724-972-4627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 N Market St",
            "address_purpose": "LOCATION",
            "city": "Lisbon",
            "state": "OH",
            "postal_code": "444329363",
            "country_code": "US",
            "telephone_number": "330-424-1468",
            "fax_number": "330-424-9844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 N 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439521846",
            "country_code": "US",
            "telephone_number": "330-424-1468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 School St",
            "address_purpose": "LOCATION",
            "city": "Steubenville",
            "state": "OH",
            "postal_code": "439527063",
            "country_code": "US",
            "telephone_number": "740-278-7990",
            "fax_number": "724-972-4627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONRAD",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wintersville, OH

Sources for this page

Verify at the official NPI Registry.