Individual provider Active NPI

Deborah Marie Connors, MA, LMHC

  • Mental Health Counselor
  • Camas, WA
National Provider Identifier
1902435647
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
534 NE Everett St Ste 201
Camas, WA 98607-2043
Phone
(360) 921-2289
NPI assigned
Apr 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

534 NE Everett St Ste 201
Camas, WA 98607-2043

Mailing address

5001 W St
Washougal, WA 98671-6759
Phone (877) 633-1960

Other practice location 1

5001 W St
Washougal, WA 98671-6759
Phone (877) 633-1960

Other names 1

  • Deborah M Connors Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EHR Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah M Connors PLLC CurrentSince Apr 17, 2020 Accepting new patients

Locations

534 NE Everett St
Ste 201
Camas, WA 98607
Phone (360) 921-2289

Organizations & group practices 1

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": "1585958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1902435647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 W ST",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986716759",
            "telephone_number": "877-633-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 NE EVERETT ST STE 201",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986072043",
            "telephone_number": "360-921-2289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 W St",
            "address_purpose": "LOCATION",
            "city": "Washougal",
            "state": "WA",
            "postal_code": "986716759",
            "country_code": "US",
            "telephone_number": "877-633-1960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "DEBORAH",
        "middle_name": "MARIE",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-04",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "534 NE Everett St Ste 201",
            "city": "Camas",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986072043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "CONNORS",
            "middle_name": "M",
            "credential": "PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.