Organization Active NPI

Kristen Conley LMFT LLC

  • Marriage & Family Therapist
  • Wheaton, IL
National Provider Identifier
1679392138
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
KRISTEN CONLEY LMFT LLC
Practice address
620 W Roosevelt Rd Ste D1
Wheaton, IL 60187-2306
Phone
(630) 577-7476
NPI assigned
Oct 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Kristen Conley, LMFTNPI 1255116794
Title
Marriage & Family Therapist
Phone
(630) 577-7476

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

620 W Roosevelt Rd Ste D1
Wheaton, IL 60187-2306

Mailing address

620 W Roosevelt Rd Ste D1
Wheaton, IL 60187-2306
Phone (630) 577-7476

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1679392138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W ROOSEVELT RD STE D1",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872306",
            "telephone_number": "630-577-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W ROOSEVELT RD STE D1",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601872306",
            "telephone_number": "630-577-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTEN CONLEY LMFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "630-577-7476",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.