Active NPI
Christopher Michael Conley, LMHC/LPCC
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1619726346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 014408
- Practice address
- 390 Hauser Blvd Apt 5F
Los Angeles, CA 90036-5511 - Phone
- (808) 628-1626
- NPI assigned
- May 15, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16547 | CA | |
| Mental Health Counselor | 101YM0800X | 014408 | NY | Primary |
Addresses
Primary practice location
390 Hauser Blvd Apt 5F
Los Angeles, CA 90036-5511
Mailing address
390 Hauser Blvd Apt 5F
Los Angeles, CA 90036-5511
Phone (808) 628-1626
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 |
|---|---|---|---|
| 16547 | CA | MD | Mental Health Counselor |
| 014408 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1619726346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "390 HAUSER BLVD APT 5F",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900365511",
"telephone_number": "808-628-1626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 HAUSER BLVD APT 5F",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900365511",
"telephone_number": "808-628-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"credential": "LMHC/LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "16547",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "014408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.