Individual provider Active NPI

Connie Lynn Roy, LPCC

  • Professional Counselor
  • Saint Clairsville, OH
National Provider Identifier
1700287489
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-1975 Issued in OH
Practice address
68518 Bannock Rd
Saint Clairsville, OH 43950-9736
Phone
(740) 695-5169
NPI assigned
Sep 12, 2014
Last updated
Sep 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E-1975 OH Primary
Social Worker 104100000X S-13346 OH

Addresses

Primary practice location

68518 Bannock Rd
Saint Clairsville, OH 43950-9736

Mailing address

67119 Friends Church Rd
Saint Clairsville, OH 43950-9720
Phone (740) 695-5169

Other names 1

  • Ms. Connie Lynn Roy Professional name

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

LicenseStateTypeSpecialty
E-1975OHMDProfessional Counselor
S-13346OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1700287489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67119 FRIENDS CHURCH RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509720",
            "telephone_number": "740-695-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68518 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509736",
            "telephone_number": "740-695-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-1975",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-13346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "ROY",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.