Active NPI
Christopher Charles Connacher
- Counseling Psychologist
- Lewisburg, PA
National Provider Identifier
1861644296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PS018169
- Practice address
- 260 Reitz Blvd Ste 5
Lewisburg, PA 17837-9220 - Phone
- (443) 896-8293
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PS018169 | PA | Primary |
Addresses
Primary practice location
260 Reitz Blvd Ste 5
Lewisburg, PA 17837-9220
Mailing address
134 S 3Rd St Apt 2
Lewisburg, PA 17837-1910
Phone (443) 896-8293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS018169 | PA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633046400000",
"number": "1861644296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 S 3RD ST APT 2",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178371910",
"telephone_number": "443-896-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 REITZ BLVD STE 5",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "178379220",
"telephone_number": "443-896-8293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNACHER",
"first_name": "CHRISTOPHER",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PA",
"license": "PS018169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, PA
- Robert Cole, PA-C
- Susan M Colon, MSED, BA
- Comprehensive Behavioral Health Support LLC
- Concern-Professional Service for Children, Youth & Families
- Concern-Professional Services for Children, Youth, & Families
- Kyle Connaghan
- Brian James Connolly, M.D.
- Timothy D Connolly, R.PH.
- Courtney Lynn Conrad, PHARMD
- Douglas Edward Contri, PSY.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.