Laura Condon, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

125669 Issued in AK

Practice address

625 S Cobb St Ste 201
Palmer, AK 99645-6480

Phone

(907) 355-1083

NPI assigned

Oct 26, 2017

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Female

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

Locations

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.

• Frontier Serenity, LLC

  • Community/Behavioral Health Agency
  • Palmer, AK
  • NPI 1083344667
  NPD Authorized official

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1790297042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1167",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996451167",
            "telephone_number": "800-745-3715",
            "fax_number": "800-745-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S COBB ST STE 201",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456480",
            "telephone_number": "907-355-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "LAURA",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "125669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Eliot Clyde, MD
• Co Occuring Disorders Institute (Compassionate Directions)
• Codi, Inc.
• Colony Manor Assisted Living Homes
• Colony Manor HC
• Jessica Conrad
• Conscientious Bodyworks, LLC
• Ardith Louise Conway, PMHNP
• Cassandra Rae Cook, D.O.
• Martin Earl Cook, DO

• Professional Counselor in Palmer, AK
• Providers in Palmer, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.