Active NPI
Michaela Ann Conley, MFT, NBC-HWC
- Marriage & Family Therapist
- Tucson, AZ
National Provider Identifier
1750972402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 10949
- Practice address
- 1621 W San Lucas Dr
Tucson, AZ 85704-1125 - Phone
- (443) 414-3532
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 10949 | AZ | Primary |
Addresses
Primary practice location
1621 W San Lucas Dr
Tucson, AZ 85704-1125
Mailing address
1621 W San Lucas Dr
Tucson, AZ 85704-1125
Phone (443) 414-3532
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 793591774 | Other | NBC-HWC | |
| 21840 | Other | MCHES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://www.michaelaconley.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10949 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1750972402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 W SAN LUCAS DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041125",
"telephone_number": "443-414-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 W SAN LUCAS DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857041125",
"telephone_number": "443-414-3532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONLEY",
"first_name": "MICHAELA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MFT, NBC-HWC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "10949",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBC-HWC",
"identifier": "793591774",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCHES",
"identifier": "21840",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://www.michaelaconley.com",
"affiliation": "N",
"endpointDescription": "personal website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "phone",
"address_1": "1621 W San Lucas Dr",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857041125",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.