Active NPI
Steven Ray Conrad, CERTIFIED COUNSELOR
- Behavior Analyst
- Ridgefield, WA
National Provider Identifier
1518345644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- CL 60302224
- Practice address
- 1504 S 21St PL
Ridgefield, WA 98642-8017 - Phone
- (360) 727-6558
- NPI assigned
- May 8, 2015
- Last updated
- May 8, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CL 60302224 | WA | Primary |
Addresses
Primary practice location
1504 S 21St PL
Ridgefield, WA 98642-8017
Mailing address
PO Box 251
Ridgefield, WA 98642-0251
Phone (360) 727-6558
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 |
|---|---|---|---|
| CL 60302224 | WA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conrad Specialty Consulting Company | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Steven R. Conrad and Associates
- Community/Behavioral Health Agency
- Ridgefield, WA
- NPI 1285011510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431043200000",
"number": "1518345644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986420251",
"telephone_number": "360-727-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 S 21ST PL",
"city": "RIDGEFIELD",
"state": "WA",
"postal_code": "986428017",
"telephone_number": "360-727-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "STEVEN",
"middle_name": "RAY",
"credential": "CERTIFIED COUNSELOR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": "CL 60302224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, WA
- Clark-Cowlitz Fire Rescue
- Arthur L. Clemente, M.D.
- Coffee Talk Therapy, PLLC
- Columbia River Cranials Orthotics and Prosthetics
- Conrad Specialty Consulting Company (Steven R. Conrad and Associates)
- Charis Faith Cook
- Core Foundations Physical Therapy LLC
- Costco Wholesale Corporation (Costco Pharmacy #1703)
- Costco Wholesale Corporation (Costco Optical #1703)
- Costco Wholesale Corporation (Costco Hearing Aid #1703)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.