Raymond C Conner Sr.
Individual provider Active NPI Professional Counselor · Newport, NC
NPI 1831467992 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1831467992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 8009 (NC)
- Practice address
- 1185 Hibbs Rd
Newport, NC 28570-9129 - Phone
- (252) 241-7395
- NPI assigned
- Dec 5, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
108 Cherry LN
Newport, NC 28570-9010
1185 Hibbs Rd
Newport, NC 28570-9129
Phone (252) 241-7395
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241121004512 | NC | Practitioner - Mental Health Counselor | 2860927274 | Practice locations: Newport, NC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8009 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Counseling | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8009 | NC | Yes |
Addresses
Primary practice location
1185 Hibbs Rd
Newport, NC 28570-9129
Mailing address
108 Cherry LN
Newport, NC 28570-9010
Phone (252) 241-7395
Other names
- New Life Counseling
Other providers in Newport, NC
- Suzanne Choynake
- Coastal Community Action, Inc
- Coastal Community Action, Inc.
- Coastal Pediatric Therapy Services
- Stacey Colborn
- Kirstie Corsan
- Kristen Blair Cundiff
- Meredith E. Czepiel
- Maurice F Dana
- Angeline Urban Demoret
All providers in Newport, NC · Professional Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.