Ann Patricia Condon – Mental Health Counselor

Key facts

NPI: 1962522979
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 4767 (MA)
Practice address: 3937 Main St
Brewster, MA 02631-1592
Phone: (508) 240-0092
Fax: (508) 255-1311
NPI assigned: Mar 31, 2007
Sex: Female
Sole proprietor: Yes

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.

Ann Condon Psychotherapy Inc. Community/Behavioral Health Agency · Brewster, MA · NPI 1740405083

NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
4767	MA	MD	Registered Dietitian

Practice roles

Organization	Specialty	Status	New patients
Ann Condon Psychotherapy Inc.		Current	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	4767	MA	Yes

Addresses

Primary practice location

3937 Main St
Brewster, MA 02631-1592

Mailing address

3937 Main St
Brewster, MA 02631-1592
Phone (508) 240-0092

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962522979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 MAIN ST",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311592",
            "telephone_number": "508-240-0092",
            "fax_number": "508-255-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 MAIN ST",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311592",
            "telephone_number": "508-240-0092",
            "fax_number": "508-255-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDON",
        "first_name": "ANN",
        "middle_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, MA

All providers in Brewster, MA · Mental Health Counselor in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.