Active NPI
Prairie Conlon
- Professional Counselor
- Hartland, WI
National Provider Identifier
1407382294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A12370
- Practice address
- 2822 Ridley Rd
Hartland, WI 53029-8835 - Phone
- (913) 375-4934
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A12370 | NC | Primary |
| Professional Counselor | 101YP2500X | LPCC.0014978 | CO | |
| Professional Counselor | 101YP2500X | 6369 | OK |
Addresses
Primary practice location
2822 Ridley Rd
Hartland, WI 53029-8835
Mailing address
2822 Ridley Rd
Hartland, WI 53029-8835
Phone (913) 375-4934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0014978 | CO | MD | Professional Counselor |
| A12370 | NC | MD | Professional Counselor |
| 6369 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1407382294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 RIDLEY RD",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530298835",
"telephone_number": "913-375-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2822 RIDLEY RD",
"city": "HARTLAND",
"state": "WI",
"postal_code": "530298835",
"telephone_number": "913-375-4934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLON",
"first_name": "PRAIRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A12370",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPCC.0014978",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "6369",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.