Individual provider Active NPI

Lynda McConn, LPCC

  • Professional Counselor
  • Blue Ash, OH
National Provider Identifier
1831219211
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E 0002694 Issued in OH
Practice address
4450 Carver Woods Dr
Blue Ash, OH 45242-5527
Phone
(513) 984-9940
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E 0002694 OH Primary

Addresses

Primary practice location

4450 Carver Woods Dr
Blue Ash, OH 45242-5527

Mailing address

4450 Carver Woods Dr
Blue Ash, OH 45242-5527
Phone (513) 984-9940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 17, 2024 through Sep 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 0002694OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Grover Counseling LLC PastSince Sep 11, 2022 Accepting new patients
Nancy Stella PHD PSYD, LLC PastSince Oct 15, 2014 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550275200000",
    "number": "1831219211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CARVER WOODS DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425527",
            "telephone_number": "513-984-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 CARVER WOODS DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425527",
            "telephone_number": "513-984-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONN",
        "first_name": "LYNDA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2019-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 0002694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.