Janet Conner, LCPC

Individual provider Active NPI Professional Counselor · Chester, MD

NPI 1376979005 · NPPES record last updated Dec 6, 2020

Key facts

NPI
1376979005
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC6099 (MD)
Practice address
116 S Piney Rd Ste 204C
Chester, MD 21619-2961
Phone
(443) 249-8673
Fax
(443) 746-2210
NPI assigned
Sep 26, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC6099MDMDProfessional Counselor
0701005581VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Psychotherapy Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701005581 VA
Professional Counselor 101YP2500X LC6099 MD Yes

Addresses

Primary practice location

116 S Piney Rd Ste 204C
Chester, MD 21619-2961

Mailing address

PO Box 833
Stevensville, MD 21666-0833
Phone (443) 249-8673

Other practice location 1

609 Independence Pkwy
Suite 115
Chesapeake, VA 23320-5209
Phone (757) 312-8002

Other practice location 2

8258 Veterans Hwy Ste 13
Millersville, MD 21108-1564
Phone (410) 768-6088

Other providers in Chester, MD

All providers in Chester, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.