Active NPI
Katherine Newman Conrad, M.A.
- Professional Counselor
- Manning, SC
National Provider Identifier
1659669109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1730176934
- Practice address
- 14 N Church St
Manning, SC 29102-3502 - Phone
- (803) 435-2121
- Fax
- (803) 435-8856
- NPI assigned
- Jul 19, 2011
- Last updated
- Jul 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5160 | SC | |
| Professional Counselor | 101YP2500X | 1730176934 | SC | Primary |
Addresses
Primary practice location
14 N Church St
Manning, SC 29102-3502
Mailing address
14 N Church St
Manning, SC 29102-3502
Phone (803) 435-2121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AD24CL | Medicaid | SC |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1730176934 | SC | MD | Professional Counselor |
| 5160 | SC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1659669109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 N CHURCH ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291023502",
"telephone_number": "803-435-2121",
"fax_number": "803-435-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 N CHURCH ST",
"city": "MANNING",
"state": "SC",
"postal_code": "291023502",
"telephone_number": "803-435-2121",
"fax_number": "803-435-8856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD",
"first_name": "KATHERINE",
"middle_name": "NEWMAN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-19",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "5160",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "1730176934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AD24CL",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manning, SC
- Laura Browder Collins, FNP-C
- Colonial Family Practice - Manning
- Colonial Family Practice, LLC (Santee Cooper Urgent Care)
- Colonial Family Practice, LLC (Primary Care at Santee Cooper)
- Compassionate Hearts Home Care Services LLC
- Jennifer D Conyers
- Edward Hussey Cornell, OT
- Cornerstone Care Transportation 2
- Grace Wielicki Couch, FNP-C
- County of Clarendon (Clarendon County Fire/Rescue)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.