Fanta Conde, DMFT, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3482 Issued in FL

Practice address

105 Oronoco St Ste 305
Alexandria, VA 22314-2089

Phone

(301) 213-0750

NPI assigned

May 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy LCSW of Maryland LLCGroup PAC ID 5597174797, 13 clinicians

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 and National Provider Directory roles.

• Senior Care Therapy LCSW of Maryland LLC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1912500463

  DC, Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD
• Therhappie

  • Community/Behavioral Health Agency
  • Silver Spring, MD
  • NPI 1528661162
  NPD Authorized official

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1679064232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 BUBBLING SPRING TERRACE",
            "city": "BOYDS",
            "state": "MD",
            "postal_code": "20841",
            "telephone_number": "301-213-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ORONOCO ST STE 305",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142089",
            "telephone_number": "301-213-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDE",
        "first_name": "FANTA",
        "name_prefix": "Dr.",
        "credential": "DMFT, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-19",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "3482",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Harriman Comstock III, M.D.
• Norlando Conanan, O.D.
• Concentra Health Services, Inc.
• Concertohealth of Northern Virginia, LLC
• Concord Counseling & Consulting, LLC
• Leah Condemi
• Erin Condon, MSW
• Heather Anne Condon III, PA-C
• Kenyetta Renee Coner
• Connected Thoughts Counseling PLLC

• Marriage & Family Therapist in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.