Conner James Vrba, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-8900 Issued in ID

Practice address

1982 Bengal View Dr
Pocatello, ID 83201-4994

Phone

(208) 252-5540

NPI assigned

May 25, 2022

Last updated

Aug 30, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Willow Counseling & Consulting LLC

  dba Willow Counseling & Consulting

  • Community/Behavioral Health Agency
  • Pocatello, ID
  • NPI 1588474704
  NPD Authorized official

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1740928076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 BENGAL VIEW DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014994",
            "telephone_number": "208-252-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1982 BENGAL VIEW DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014994",
            "telephone_number": "208-252-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRBA",
        "first_name": "CONNER",
        "middle_name": "JAMES",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Lee Vincent, D.O.
• Alisa Vineyard, AU.D.
• Vistec LLC
• Sandra Lyn Vollmer, LMSW
• James Vonbusch, LPC
• Cindy Wade, LCPC
• Laura Ann Wadsworth Lundquist, MSN, FNP-C, IBCLC
• Marissa Jacqueline Wagner Edmunds
• Kevin Joseph Wagner, DMD
• Christine F Waite, DPT

• Professional Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.