Kimberly Conyer, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701007854 Issued in VA

Practice address

5705 Lynnhaven Pkwy Ste 104
Virginia Beach, VA 23464-9157

Phone

(757) 524-0167

Fax

(757) 904-3657

NPI assigned

Oct 24, 2018

Last updated

Oct 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tranquil Waters Counseling, LLC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1124780994
  NPD Authorized official
• Afi Outpatient Mental Health Services, Inc.

  • Clinical Social Worker
  • Hampton, VA
  • NPI 1407212079
  NPD (past)

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1932675360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RIDGEWOOD RD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233252223",
            "telephone_number": "757-771-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 LYNNHAVEN PKWY STE 104",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234649157",
            "telephone_number": "757-524-0167",
            "fax_number": "757-904-3657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Research Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236661324",
            "country_code": "US",
            "telephone_number": "757-315-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONYER",
        "first_name": "KIMBERLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Conti, LPTA
• Lisa Conway-Sugden, PSY.D.
• Kaitlin R Conway
• Lisa Conway, M.S., R.D., C.N.S.C.
• Wanda Sue Conway, RDH
• Taylor Conyers, OTD
• John Philip Conza, MS PA-C
• Allison Cook
• Christine Ware Cook, F.A.A.O
• Courtney Ayana Cook, LMFT

• Professional Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.