Individual provider Active NPI

Craig Matthew Conover, MS, LMHC, CAGS

  • Mental Health Counselor
  • Providence, RI
National Provider Identifier
1750340824
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00283 Issued in RI
Practice address
1 Virginia Ave Ste 105
Providence, RI 02905-4444
Phone
(508) 979-5557
NPI assigned
Mar 18, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC00283 RI Primary

Addresses

Primary practice location

1 Virginia Ave Ste 105
Providence, RI 02905-4444

Mailing address

29 Niantic TRL
West Greenwich, RI 02817-1939
Phone (401) 397-8872

Other practice location 1

1060 Tiogue Ave Unit 2
Coventry, RI 02816-6114
Phone (401) 441-4490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 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

Enrollment IDStateProvider typePAC IDDetails
I20260609001915 RI Practitioner - Mental Health Counselor 1557832763 Reassigns benefits to 1 organization
I20260611000294 MA Practitioner - Mental Health Counselor 1557832763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

226 Field St
New Bedford, MA 02740-2133
Phone (508) 979-5557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MHC00283RIMDMental Health Counselor

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1750340824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NIANTIC TRL",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028171939",
            "telephone_number": "401-397-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VIRGINIA AVE STE 105",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054444",
            "telephone_number": "508-979-5557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1060 Tiogue Ave Unit 2",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "RI",
            "postal_code": "028166114",
            "country_code": "US",
            "telephone_number": "401-441-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONOVER",
        "first_name": "CRAIG",
        "middle_name": "MATTHEW",
        "credential": "MS, LMHC, CAGS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.