Susan Ann McDonald-Conroy, MS, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

758-124 Issued in WI

Practice address

200 Mason St Ste 11
Onalaska, WI 54650-7061

Phone

(608) 769-1002

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1578697256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N12455 HUNTER LN",
            "city": "TREMPEALEAU",
            "state": "WI",
            "postal_code": "546617220",
            "telephone_number": "608-534-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MASON ST STE 11",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546507061",
            "telephone_number": "608-769-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Main St",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546014200",
            "country_code": "US",
            "telephone_number": "608-785-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD-CONROY",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MS, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "758-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43712800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayo Foundation for Medical Education & Research
• Donna McBride, BCTMB
• Kathryn E McCabe, OTR
• April Marie McClish, D.O.
• Michael R McCormick, PA
• Jessica Marie McIlrath, DO
• Ryan Andrew McKelley, PH.D.
• Eileen T. McKenzie, L.AC.
• Payton James McQuin, DDS
• Mollie Jane McRae, LCSW

• Marriage & Family Therapist in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.