John P Condron, M.S., L.C.P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCPC-3868 Issued in ID

Practice address

1023 Yellowstone Ave Ste J
Pocatello, ID 83201-4478

Phone

(208) 233-1276

Fax

(208) 233-0835

NPI assigned

May 16, 2007

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in ID

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Willow Sage Services LLC

  • Counselor
  • Idaho Falls, ID
  • NPI 1538611652
  Medicare reassignment NPD
• Alliance Home Health of Idaho, LLC

  dba Alliance Hospice

  • Community Based Hospice Care Agency
  • Twin Falls, ID
  • NPI 1467772897
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1972710564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 YELLOWSTONE AVE STE J",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014478",
            "telephone_number": "208-233-1276",
            "fax_number": "208-233-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 YELLOWSTONE AVE STE J",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014478",
            "telephone_number": "208-233-1276",
            "fax_number": "208-233-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONDRON",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.S., L.C.P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "LCPC-3868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Mental Health Services, Inc.
• Community Wellness Center, Inc
• Cristina Maria Da Silva Comparini, PHARMD
• Concordia Health Care Inc (Concordia Care Center)
• Concordia Health Care Inc (Concordia Hospital)
• Ronald James Conlin, M.S. CCC-A
• Connections Family Medicine LLC (Connections Family Medicine)
• John Shelton Conner Jr., MD
• Leslie D Conner, PA
• Scott P Conover, D.O.

• Mental Health Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.