Individual provider Active NPI

Conor C Dawley, LPC

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1861785834
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC005898 Issued in PA
Practice address
4950 W 23Rd St
Suite 1
Erie, PA 16506-5802
Phone
(814) 459-2755
Fax
(814) 456-4873
NPI assigned
May 24, 2011
Last updated
Apr 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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 PC005898 PA Primary

Addresses

Primary practice location

4950 W 23Rd St
Suite 1
Erie, PA 16506-5802

Mailing address

1021 W 33Rd St
Erie, PA 16508-2507

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

LicenseStateTypeSpecialty
PC005898PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Center of Lecom Health Past Accepting new patients
Achievement Center of Lecom Health Past 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, 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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1861785834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W 33RD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 W 23RD ST",
            "address_2": "SUITE 1",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165065802",
            "telephone_number": "814-459-2755",
            "fax_number": "814-456-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWLEY",
        "first_name": "CONOR",
        "middle_name": "C",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.