John Willis Konkel, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006645 Issued in VA

Practice address

10129 Rogers Drive
Nassawadox, VA 23413

Phone

(757) 442-3636

Fax

(757) 442-2932

NPI assigned

Aug 30, 2016

Last updated

Nov 21, 2023By the provider in NPPES

Sex

Male

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

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Horizons Counseling Services, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Onley, VA
  • NPI 1245070820
  Medicare reassignment NPD Authorized official
• Eastern Shore Community MH Mr Sas Services Board

  dba Eastern Shore Behavioral Healthcare Center

  • Professional Counselor
  • Parksley, VA
  • NPI 1154411510
  Medicare reassignment NPD
• Eastern Shore Community Services Board

  • Speech-Language Pathologist
  • Belle Haven, VA
  • NPI 1821283722
  NPD

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1649726522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130453",
            "telephone_number": "757-442-3636",
            "fax_number": "757-442-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10129 ROGERS DRIVE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "23413",
            "telephone_number": "757-442-3636",
            "fax_number": "757-442-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKEL",
        "first_name": "JOHN",
        "middle_name": "WILLIS",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Kaye, MD
• Lloyd Joseph Kellam III, MD
• Laura Diane Kerbin, M.D.
• David Jay Klein, MD
• Joseph J. Konefal, M.D.
• Kay Laird, NP, RN
• Theresa Genetelli Long, D.N.P.
• James Lund McDaniel, MD
• Robert Joseph Miller, CRNA
• Federico Fernando Molera, M.D.

• Professional Counselor in Nassawadox, VA
• Providers in Nassawadox, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.