Active NPI
Antonio Dante Conway, LPCC, LICDC
- Mental Health Counselor
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.2505379
- Practice address
- 3622 Prospect Ave E
Cleveland, OH 44115-2704 - Phone
- (216) 431-4600
- Fax
- (216) 431-4601
- NPI assigned
- Feb 7, 2018
- Last updated
- Jun 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 162455 | OH | |
| Mental Health Counselor | 101YM0800X | E.2505379 | OH | Primary |
Addresses
Primary practice location
3622 Prospect Ave E
Cleveland, OH 44115-2704
Mailing address
8351 State Route 46
Orwell, OH 44076-9389
Phone (440) 321-9063
Other practice location 1
8351 State Route 46
Orwell, OH 44076-9389
Phone (440) 321-9063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162455 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E.2505379 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1St Choice Counseling Services LLC | Mental Health | Current | Accepting new patients |
| Imex Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
| Moore Counseling & Mediation Services, Inc. | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Cleveland, OH
- NPI 1629965413
-
dba KTA MAT & Recovery
- Occupational Medicine Physician
- Chesterland, OH
- NPI 1194229427
Addiction (Substance Use Disorder)
-
- Professional Counselor
- Euclid, OH
- NPI 1235242280
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749340800000",
"number": "1790284560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8351 STATE ROUTE 46",
"city": "ORWELL",
"state": "OH",
"postal_code": "440769389",
"telephone_number": "440-321-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3622 PROSPECT AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152704",
"telephone_number": "216-431-4600",
"fax_number": "216-431-4601"
}
],
"practiceLocations": [
{
"address_1": "8351 State Route 46",
"address_purpose": "LOCATION",
"city": "Orwell",
"state": "OH",
"postal_code": "440769389",
"country_code": "US",
"telephone_number": "440-321-9063",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONWAY",
"first_name": "ANTONIO",
"middle_name": "DANTE",
"name_prefix": "Mr.",
"credential": "LPCC, LICDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-07",
"last_updated": "2025-06-08",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "162455",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.2505379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.