Laurie Ann Conklin

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006564 Issued in NY

Practice address

55 Main St Ste 6
Goshen, NY 10924-2163

Phone

(917) 892-6544

NPI assigned

Sep 1, 2015

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1396112702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 VETOSKY RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN ST STE 6",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242163",
            "telephone_number": "917-892-6544"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Pike St",
            "address_purpose": "LOCATION",
            "city": "Port Jervis",
            "state": "NY",
            "postal_code": "127711808",
            "country_code": "US",
            "telephone_number": "845-858-1456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "LAURIE ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Comerford
• Communication Station, LLP.
• Michele L Competello, PTA
• Katherine Olaya Compitus, LCSW
• Rebecca Conger-Glaser
• Mia Conley
• Tara Connell, MS/CCC-SLP
• Louise Contin, LCSW
• Ann M Conway, MOTR/L
• Karen Corr, PHARM.D.

• Mental Health Counselor in Goshen, NY
• Providers in Goshen, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.