Individual provider Active NPI

Nancy Conejo Padron, MS, LCMHC, NCC

  • Professional Counselor
  • Asheville, NC
National Provider Identifier
1790336063
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14169 Issued in NC
Practice address
1293 Hendersonville Rd Ste 19
Asheville, NC 28803-1956
Phone
(828) 785-3580
Fax
(828) 254-0762
NPI assigned
Sep 26, 2019
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X A14169 NC
Professional Counselor 101YP2500X 14169 NC Primary

Addresses

Primary practice location

1293 Hendersonville Rd Ste 19
Asheville, NC 28803-1956

Mailing address

1016 Plymouth Dr
New Bern, NC 28562-2536
Phone (863) 446-0246

Other practice location 1

800 Cardinal Rd
New Bern, NC 28562-5204
Phone (252) 633-3855

Other names 1

  • Nancy Conejo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240129000257 NC Practitioner - Mental Health Counselor 3678926433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asheville Counseling and Wellness Center PLLCGroup PAC ID 3173856861, 3 clinicians

Practice addresses (Care Compare)

1293 Hendersonville Rd
Suite 19
Asheville, NC 28803-1956
Phone (828) 254-0749

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A14169NCMDProfessional Counselor
14169NCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Creek Path Counseling PLLC Professional CurrentSince Jul 3, 2026 Accepting new patients
Asheville Counseling & Wellness Center, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

1 Town Square Blvd
Ste 206
Asheville, NC 28803

1293 Hendersonville Rd
Ste 19
Asheville, NC 28803
Phone (828) 254-0749

233 S French Broad Ave
Asheville, NC 28801
Phone (828) 254-0749

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1790336063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 PLYMOUTH DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622536",
            "telephone_number": "863-446-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 HENDERSONVILLE RD STE 19",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031956",
            "telephone_number": "828-785-3580",
            "fax_number": "828-254-0762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Cardinal Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625204",
            "country_code": "US",
            "telephone_number": "252-633-3855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADRON",
        "first_name": "NANCY",
        "middle_name": "CONEJO",
        "name_prefix": "Mrs.",
        "credential": "MS, LCMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A14169",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "14169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "CONEJO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.